FORM 1023-EZ for LYMEBRAVE FOUNDATION INC

Field Data
EIN 82-1743753
Case Number EO-2017283-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LYMEBRAVE FOUNDATION INC
Organization’s Mailing Address 345 FRONT ST
City LITITZ
State PA
ZIP 17543
Accounting period End 12
Primary contact name SUSAN POGORZELSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN POGORZELSKI
PRESIDENT
345 FRONT ST
LITITZ PA 17543

Officer/Director/Trustee Two

CHESTER POGORZELSKI
VICE-PRESIDENT
2626 HAZELWOOD RD
LANCASTER PA 17601

Officer/Director/Trustee Three

TARAH SWEIGART
TREASURER
46 REAGAN DR
EPHRATA PA 17522

Officer/Director/Trustee Four

SARAH MASER
SECRETARY
2451 CREEK VIEW DR
LANCASTER PA 17602

Organization’s website WWW.LYMEBRAVEFOUNDATION.ORG
Organization’s email INFO@LYMEBRAVEFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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