FORM 1023-EZ for LYNNWOOD PARK FOUNDATION INC

Field Data
EIN 82-5283877
Case Number EO-2018184-000027
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYNNWOOD PARK FOUNDATION INC
Organization’s Mailing Address 1490 DEERWOOD DR
City DECATUR
State GA
ZIP 30030
Accounting period End 12
Primary contact name KATHY WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY WELLS
PRESIDENT
3191 MAE AVE
BROOKHAVEN GA 30319

Officer/Director/Trustee Two

HERMAN THOMAS
VICE PRESIDENT
1054 DEVINE CIRCLE
BROOKHAVEN GA 30319

Officer/Director/Trustee Three

EDGAR JONES
CO VICE PRESIDENT
1419 HELEN LANE
ATLANTA GA 30331

Officer/Director/Trustee Four

JANICE DUNCAN
SECRETARY
1490 DEERWOOD DR
DECATUR GA 30030

Officer/Director/Trustee Five

ADRIA WILLIAMS
TRESURER
3183 MAE AVENUE
BROOKHAVEN GA 30319

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/16
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHY WELLS
Signature Title PRESIDENT
Signature Date 6/29/18

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