FORM 1023-EZ for LUCAS JOHN FOUNDATION INC

Field Data
EIN 83-3683882
Case Number EO-2019063-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUCAS JOHN FOUNDATION INC
Organization’s Mailing Address 645 S ESQUIRE WAY
City MESA
State AZ
ZIP 85202
Accounting period End 12
Primary contact name SHAWNA CULP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWNA CULP
CHIEF EXECUTIVE OFFICER
645 S ESQUIRE WAY
MESA AZ 85202

Officer/Director/Trustee Two

CHAD CULP
CHIEF FINANCIAL OFFICER
645 S ESQUIRE WAY
MESA AZ 85202

Officer/Director/Trustee Three

BRANDON CULP
CHAIRPERSON VICE PRESIDENT
645 S ESQUIRE WAY
MESA AZ 85202

Officer/Director/Trustee Four

CHANCEE WOMACK
TRUSTEE SECRETARY
645 S ESQUIRE WAY
MESA AZ 85202

Officer/Director/Trustee Five

ALEX CULP
DIRECTOR STATUTORY AGENT
877 S NIELSON ST
GILBERT AZ 85296

Organization’s website LUCASJOHNFOUNDATION.COM
Organization’s email INFO@LUCASJOHNFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 SHAWNA CULP
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/1/19

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