FORM 1023-EZ for COLUMBIA ELKS LODGE NO 85 INC

Field Data
EIN 84-3862155
Case Number EO-2019340-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLUMBIA ELKS LODGE NO 85 INC
Organization’s Mailing Address 4832 NANNIE HELEN BURROUGHS AVENUE
City WASHINGTON
State DC
ZIP 20019
Accounting period End 12
Primary contact name LEONARD J POLK JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEONARD POLK
CORP COUNSEL/TRUSTEE
30 ALDRIDGE COURT
STERLING VA 20165

Officer/Director/Trustee Two

PHLEM BROADWAY
OFFICER
4832 NANNIE HELEN BURROUGHS AVENUE
WASHINGTON DC 20019

Officer/Director/Trustee Three

MILLER MCDANIEL
TRUSTEE
4832 NANNIE HELEN BURROUGHS AVENUE
WASHINGTON DC 20019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2018
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 LEONARD POLK
Signature Title CORP COUNSEL/TRUSTEE
Signature Date 12/4/2019

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