FORM 1023-EZ for LEBANON STEM FOUNDATION INC

Field Data
EIN 46-4248683
Case Number EO-2014237-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEBANON STEM FOUNDATION INC
Organization’s Mailing Address 521 E MAIN ST
City LEBANON
State IN
ZIP 46052
Accounting period End 12
Primary contact name DUSTIN OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DUSTIN OBRIEN
CHAIR/TREASURER/DIRECTOR
521 E MAIN ST
LEBANON IN 46052

Officer/Director/Trustee Two

STEPHEN HAWKS
VICE-CHAIR/DIRECTOR
2127 HANNAH CT
LEBANON IN 46052

Officer/Director/Trustee Three

JOSHUA HAWKS
SECRETARY/DIRECTOR
2127 HANNAH CT
LEBANON IN 46052

Organization’s website WWW.LEBANONSTEM.ORG
Organization’s email INFO@LEBANONSTEM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2013
Organization Incorporation State IN
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: No
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 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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