FORM 1023-EZ for LORENZA AND LONA BREAST CANCER FOUNDATION

Field Data
EIN 82-4633568
Case Number EO-2018232-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LORENZA AND LONA BREAST CANCER FOUNDATION
Organization’s Mailing Address PO BOX 41352
City BATON ROUGE
State LA
ZIP 70835
Accounting period End 12
Primary contact name NETTIE POWERS PRESIDENT-DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NETTIE POWERS
PRESIDENT - DIRECTOR - CHAIR
PO BOX 41352
BATON ROUGE LA 70835

Officer/Director/Trustee Two

FREDERICA KORNBACHER
VICE PRESIDENT - DIRECTOR
PO BOX 41352
BATON ROUGE LA 70835

Officer/Director/Trustee Three

LYNDRA SMITH
TREASURER - DIRECTOR
PO BOX 41352
BATON ROUGE LA 70835

Officer/Director/Trustee Four

TALISHA TANNER
ASSISTANT TREASURER - DIRECTOR
PO BOX 41352
BATON ROUGE LA 70835

Officer/Director/Trustee Five

TERRY POLK
SECRETARY - DIRECTOR
PO BOX 41352
BATON ROUGE LA 70835

Organization’s website LORENZAANDLONABREASTCANCERFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G32 - Breast Cancer
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 NETTIE POWERS
Signature Title PRESIDENT - DIRECTOR - CHAIR
Signature Date 8/17/18

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