FORM 1023-EZ for ONE LYME FOUNDATION INC

Field Data
EIN 83-2797770
Case Number EO-2019028-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE LYME FOUNDATION INC
Organization’s Mailing Address 2815 S OSCEOLA AVE
City ORLANDO
State FL
ZIP 32806
Accounting period End 12
Primary contact name ALWYN MACKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA MACKEY
DIRECTOR
2815 S OSCEO
ORLANDO FL 32806

Officer/Director/Trustee Two

ALWYN MACKEY
OFFICER
2815 S OSCEO15
BOYNTON BEACH FL 32806

Officer/Director/Trustee Three

BRIAN LEIDY
OFFICER
2815 S OSCEO
BOYNTON BEACH FL 32806

Organization’s website
Organization’s email WEFIGHTLYME@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 ANGELA MACKEY
Signature Title DIRECTOR
Signature Date 12/14/18

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