FORM 1023-EZ for LARK CULTIVATION INC

Field Data
EIN 86-1463331
Case Number EO-2021104-000916
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LARK CULTIVATION INC
Organization’s Mailing Address 920 METCALF AVE 14H
City BRONX
State NY
ZIP 10473
Accounting period End 12
Primary contact name DAVID WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANY GREEN
DIRECTOR
920 METCALF AVE 14H
BRONX NY 10473

Officer/Director/Trustee Two

DAVID WILSON
DIRECTOR
920 METCALF AVE 14H
BRONX NY 10473

Officer/Director/Trustee Three

KRISTOL FULLER
DIRECTOR
11 BRIGA LN
WHITE PLAINS NY 10605

Organization’s website
Organization’s email LARK.TWENTY21@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
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 STEPHANY GREEN
Signature Title DIRECTOR
Signature Date 4/12/2021

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