FORM 1023-EZ for BERNIE LERNER FOUNDATION INC

Field Data
EIN 82-3688011
Case Number EO-2018016-000215
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERNIE LERNER FOUNDATION INC
Organization’s Mailing Address 1482 MEADOWLARK DR
City LONG GROVE
State IL
ZIP 60047
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM LERNER
PRESIDENT
1482 MEADOWLARK DR
LONG GROVE IL 60047

Officer/Director/Trustee Two

CHRISTOPHER VINCENT
DIRECTOR
1603 E HUNTLEY AVE
COEUR D' ALENE ID 83815

Officer/Director/Trustee Three

COREY LEWISON
DIRECTOR
1517 E RIVERBEND ST
SUPERIOR CO 80027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 ADAM LERNER
Signature Title PRESIDENT
Signature Date 1/11/18

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