FORM 1023-EZ for THE LILY SYMONE FOUNDATION

Field Data
EIN 85-1333310
Case Number EO-2021022-000042
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LILY SYMONE FOUNDATION
Organization’s Mailing Address 222 J ST 410
City SAN DIEGO
State CA
ZIP 92101-6825
Accounting period End 6
Primary contact name TIANA SWANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIANA SWANK
PRESIDENT
222 J ST 410
SAN DIEGO CA 92101-6825

Officer/Director/Trustee Two

WESLEY SWANK
OFFICER
222 J ST 410
SAN DIEGO CA 92101-6825

Officer/Director/Trustee Three

JORDAN CHARTERS
SECRETARY
1717 N EARNSHAW LN
SALT LAKE CITY UT 84116-1237

Organization’s website SYMONE.ORG
Organization’s email CONNECT@SYMONE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
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 TIANA SWANK
Signature Title PRESIDENT
Signature Date 11/23/2020

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