FORM 1023-EZ for LUCAS FITNESS LAB INC

Field Data
EIN 84-3622668
Case Number EO-2021223-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUCAS FITNESS LAB INC
Organization’s Mailing Address 1645 DECATUR STREET
City RIDGEWOOD
State NY
ZIP 11385
Accounting period End 12
Primary contact name DENNIS REMORCA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS REMORCA
PRESIDENT
38 WEST 73RD STREET APT B
NEW YORK NY 11385

Officer/Director/Trustee Two

GIRAY ATALAY
SECRETARY
425 EAST 75TH STREET APT 5B
NEW YORK NY 10021

Officer/Director/Trustee Three

ROBERT MONAHAN
TREASURER
240 INDIAN TRAIL ROAD
CHAPEL NC 27514

Officer/Director/Trustee Four

TASNEEM HOQUE
BOARD MEMBER
15 TAJ COURT
CENTEREACH NY 11720

Officer/Director/Trustee Five

JACLYN NUDEL TANNEY
BOARD MEMBER
353 EAST 72ND STREET
NEW YORK NY 10021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2019
Organization Incorporation State NY
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 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 DENNIS REMORCA
Signature Title PRESIDENT
Signature Date 8/9/2021

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