FORM 1023-EZ for PROJECT LYCEUM INC

Field Data
EIN 87-1372170
Case Number EO-2021187-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT LYCEUM INC
Organization’s Mailing Address 2632 HIGHLAND MEADOWS WAY
City VIRGINIA BEACH
State VA
ZIP 23456
Accounting period End 12
Primary contact name DIRK SAMPSELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILSON GEORGE
DIRECTOR
5525 FROG POND LANE
VIRGINIA BEACH VA 23455

Officer/Director/Trustee Two

KATHERINE GRIMM
DIRECTOR
2632 HIGHLAND MEADOWS WAY
VIRGINIA BEACH VA 23456

Officer/Director/Trustee Three

JEFFERY NICHOLS
DIRECTOR
2632 HIGHLAND MEADOWS WAY
VIRGINIA BEACH VA 23456

Officer/Director/Trustee Four

JOHN GEORGE II
DIRECTOR
10249 ELLERBE RD
SHREVEPORT LA 71106

Officer/Director/Trustee Five

JOHN GEORGE III
DIRECTOR
10249 ELLERBE RD
SHREVEPORT LA 71106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 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 WILSON GEORGE
Signature Title DIRECTOR
Signature Date 7/1/2021

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