FORM 1023-EZ for TEAM LUCAS FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2345999 |
| Case Number | EO-2019284-000621 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TEAM LUCAS FOUNDATION |
| Organization’s Mailing Address | 7475 |
| City | DUNDEE |
| State | OH |
| ZIP | 44624 |
| Accounting period End | 12 |
| Primary contact name | KEITH GREEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEITH GREEN
DIRECTOR
7475 CHERRY RUN ROAD
DUNDEE OH 44624
Officer/Director/Trustee Two
CHARITY HARGRAVE
OFFICER
214 WEST JACKSON STREET
MILLERSBURG OH 44654
Officer/Director/Trustee Three
WOODROW WILSON
OFFICER
10672 STATE ROUTE ROAD 520
KILLBUCK OH 44637
Officer/Director/Trustee Four
MATT BUTTERBAUGH
OFFICER
7114 MILLERSBURG ROAD
WOOSTER OH 44691
Officer/Director/Trustee Five
MYRON MILLER
OFFICER
4431 TOWNSHIP ROAD 368
MILLERSBURG OH 44654
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/19 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O5O - |
| 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 | KEITH GREEN |
| Signature Title | DIRECTOR |
| Signature Date | 10/9/19 |
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