FORM 1023-EZ for LETS KICK ASTHMA FOUNDATION

Field Data
EIN 47-3582165
Case Number EO-2018269-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LETS KICK ASTHMA FOUNDATION
Organization’s Mailing Address 3737 CHANDLER ESTATES
City APOKA
State FL
ZIP 32712
Accounting period End 12
Primary contact name PHEBE FUQUA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOLENE M O NEAL
PRESIDENT
3737 CHANDLER DRIVE
APOKA FL 32712

Officer/Director/Trustee Two

FAISAL FAKIH
DIRECTOR
1788 FAIRBANKS AVENUE
WINTER PARK FL 32789

Officer/Director/Trustee Three

LUCILLE O NEAL
DIRECTOR
6130 FOXFEILD COURT
WINDERMERE FL 34786

Officer/Director/Trustee Four

MILDRED WILSON
DIRECTOR
1416 ALEXINGTON AVE
DELTONA FL 32725

Officer/Director/Trustee Five

MARGET BELL
VICE PRESIDENT
3737 CHANDLER DRIVE
APOKA FL 32712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/15
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G60 - Allergy Related Diseases
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Correctness Declaration Yes
Signature Name JOLENE M O NEAL
Signature Title PRESIDENT
Signature Date 9/23/18
EIN 47-3582165
Case Number EO-2017160-000095
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LETS KICK ASTHMA FOUNDATION INC
Organization’s Mailing Address 3737 CHANDLER ESTATES DRIVE
City APOPKA
State FL
ZIP 32712
Accounting period End 12
Primary contact name MARIO DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOLENE M O NEAL
PRESIDENT
3737 CHANDLER ESATES DRIVE
APOPKA FL 32712

Officer/Director/Trustee Two

FAISAL FAKIH
DIRECTOR
1788 FAIRBANKS AVENUE
WINTER PARK FL 32789

Officer/Director/Trustee Three

LUCILLE O NEAL
DIRECTOR
6130 FOXFIELD COURT
WINDERMERE FL 34786

Officer/Director/Trustee Four

MILDRED WILSON
DIRECTOR
1416 ALEXINGTON AVE
DELTONA FL 32725

Officer/Director/Trustee Five

MARGARET BELL
VICE PRESIDENT
3737 CHANDLER ESTATES DRIVE
APOPKA FL 32712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G60 - Allergy Related Diseases
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
Signature Title
Signature Date

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