FORM 1023-EZ for LIA HOUSE ALUMNI ASSOCIATION

Field Data
EIN 84-2386688
Case Number EO-2019217-000525
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIA HOUSE ALUMNI ASSOCIATION
Organization’s Mailing Address 2211 PORTMAN AVE
City CLEVELAND
State OH
ZIP 44109
Accounting period End 12
Primary contact name KARL WILLIAM JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL JONES
PRESIDENT
2211 PORTMAN AVENUE
CLEVELAND OH 44109

Officer/Director/Trustee Two

BRIAN STEVERS
VICE PRESIDENT
2003 DENISON AVENUE
CLEVELAND OH 44109

Officer/Director/Trustee Three

CORY SCOTT
SECRETARY
5305 MEMPHIS AVENUE
CLEVELAND OH 44144

Officer/Director/Trustee Four

SHAWN HUTSON
TREASURER
5305 MEMPHIS AVENUE
CLEVELAND OH 44144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 KARL JONES
Signature Title PRESIDENT
Signature Date 8/2/19

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