FORM 1023-EZ for LYDIA FOUNDATION FOR SOCIAL ENGAGEMENT

Field Data
EIN 83-4218788
Case Number EO-2019186-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYDIA FOUNDATION FOR SOCIAL ENGAGEMENT
Organization’s Mailing Address 121 S 13TH STREET SUITE 800
City LINCOLN
State NE
ZIP 68508
Accounting period End 12
Primary contact name ALEX MCKIERNAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX MCKIERNAN
PRESIDENT
17675 SW 14TH STREET
MARTELL NE 68404

Officer/Director/Trustee Two

JUDY HALSTEAD
SECRETARY
7633 BOBCAT CIRCLE
LINCOLN NE 68523

Officer/Director/Trustee Three

ADAM PROCHASKA
TREASURER
121 S 13TH STREET SUITE 800
LINCOLN NE 68508

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R03 - Professional Societies, Associations
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 ALEX MCKIERNAN
Signature Title PRESIDENT
Signature Date 7/2/19

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