FORM 1023-EZ for LOM -LEAN ON ME CANCER SUPPORT FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-3009776 |
| Case Number | EO-2020261-000263 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LOM -LEAN ON ME CANCER SUPPORT FOUNDATION |
| Organization’s Mailing Address | 134 CASTLEWOOD RD |
| City | TYRONE |
| State | GA |
| ZIP | 30290 |
| Accounting period End | 10 |
| Primary contact name | DAVINA WILLIAMS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVINA WILLIAMS
PRESIDENT
134 CASTLEWOOD RD
TYRONE GA 30290
Officer/Director/Trustee Two
BELINDA MOMON
VICE-PRESIDENT
7255 BRITTANY WAY
DOUGLASVILLE GA 30134
Officer/Director/Trustee Three
VERONICA FEARS
SECRETARY
260 NEWFIELD DR
TYRONE GA 30290
Officer/Director/Trustee Four
TONYA LAWSON
TREASURE
119 FOUNTAIN OAK
VILLA RICA GA 30180
| Organization’s website | WWW.LADYDWILLIAMS.COM |
|---|---|
| Organization’s email | LADYDWILL50@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/1/2012 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G30 - 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 | Yes |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DAVINA WILLIAMS |
| Signature Title | PRESIDENT |
| Signature Date | 9/15/2020 |
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