FORM 1023-EZ for LEAD EXCHANGE NETWORK INC

Field Data
EIN 45-3368084
Case Number EO-2021172-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEAD EXCHANGE NETWORK INC
Organization’s Mailing Address 865 28TH STREET SE SUITE 700
City GRAND RAPIDS
State MI
ZIP 49507
Accounting period End 12
Primary contact name LATRICIA LOMAX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATRICIA LOMAX
PRESIDENT
865 28TH STREET SE SUITE 700
GRAND RAPIDS MI 49507

Officer/Director/Trustee Two

JOE MAHANEY
DIRECTOR
5719 WEST GROVE DR
GRAND RAPIDS MI 49512

Officer/Director/Trustee Three

DOMONIQUE OBASEKI
DIRECTOR
440 BURROUGHTS ST SUITE 107
DETROIT MI 48202

Officer/Director/Trustee Four

DEB BATES
DIRECTOR
625 KENMOOR AVE SE SUITE 301
GRAND RAPIDS MI 49546

Officer/Director/Trustee Five

CLIFTON JURA
DIRECTOR
1331 AMITY AVE
MUSKEGON MI 49442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2011
Organization Incorporation State MI
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: 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 Yes
Correctness Declaration Yes
Signature Name LATRICIA LOMAX
Signature Title PRESIDENT
Signature Date 6/17/2021

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