FORM 1023-EZ for FELLOWSHIP OF THE LENS EDUCATIONALFOUNDATION

Field Data
EIN 84-2892630
Case Number EO-2019301-000832
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FELLOWSHIP OF THE LENS EDUCATIONALFOUNDATION
Organization’s Mailing Address 110 SUMMERFIELD ST
City DANVILLE
State CA
ZIP 94506-6141
Accounting period End 10
Primary contact name WILLIAM M YOUNGBLOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM YOUNGBLOOD
OFFICER
110 SUMMERFIELD ST
DANVILLE CA 94506-6141

Officer/Director/Trustee Two

TOM GRAVES
CHAIRFELLOW
400-A CLIPPER ST
SAN FRANCISCO CA 94114

Officer/Director/Trustee Three

GARY PHIPPS
FELLOW
2406 PANORAMIC DRIVE
CONCORD CA 94520-1321

Officer/Director/Trustee Four

CONWAY JONES
FELLOW
6351 LONGCROFT DRIVE
OAKLAND CA 94611-2521

Organization’s website
Organization’s email INFOF@LENSFELLOWS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R63 - Censorship, Freedom of Speech and Press Issues
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM YOUNGBLOOD
Signature Title OFFICER
Signature Date 10/26/19
EIN 84-2892630
Case Number EO-2019301-000832
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FELLOWSHIP OF THE LENS EDUCATIONAL FOUNDATION
Organization’s Mailing Address 110 SUMMERFIELD ST
City DANVILLE
State CA
ZIP 94506-6141
Accounting period End 10
Primary contact name WILLIAM M YOUNGBLOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM YOUNGBLOOD
OFFICER
110 SUMMERFIELD ST
DANVILLE CA 94506-6141

Officer/Director/Trustee Two

TOM GRAVES
CHAIRFELLOW
400-A CLIPPER ST
SAN FRANCISCO CA 94114

Officer/Director/Trustee Three

GARY PHIPPS
FELLOW
2406 PANORAMIC DRIVE
CONCORD CA 94520-1321

Officer/Director/Trustee Four

CONWAY JONES
FELLOW
6351 LONGCROFT DRIVE
OAKLAND CA 94611-2521

Organization’s website
Organization’s email INFOF@LENSFELLOWS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R63 - Censorship, Freedom of Speech and Press Issues
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM YOUNGBLOOD
Signature Title OFFICER
Signature Date 10/26/19

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