FORM 1023-EZ for COACH GARY LEWIS SCHOLARSHIP FOUNDATION

Field Data
EIN 83-4649559
Case Number EO-2021245-000525
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COACH GARY LEWIS SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 2145 MARIPOSA DRIVE
City ROCKFORD
State IL
ZIP 61108
Accounting period End 12
Primary contact name CHRISTOPHER LOGLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON LEWIS
PRESIDENT AND DIRECTOR
5528 COTTONROSE LANE
RALEIGH NC 27606

Officer/Director/Trustee Two

CALEB LEWIS
SECRETARY AND DIRECTOR
2477 SIMAS AVENUE
PINOLE CA 94564

Officer/Director/Trustee Three

BRAD LEWIS
TREASURER AND DIRECTOR
2145 MARIPOSA DRIVE
ROCKFORD IL 61108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
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 BRAD LEWIS
Signature Title TREASURER AND DIRECTOR
Signature Date 9/1/2021

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