FORM 1023-EZ for LISA TEAGLE BROWN FOUNDATION

Field Data
EIN 84-3670383
Case Number EO-2019360-000414
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LISA TEAGLE BROWN FOUNDATION
Organization’s Mailing Address PO BOX 30224
City ELKINS PARK
State PA
ZIP 19027
Accounting period End 12
Primary contact name TONI MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BROWN
PRESIDENT
1204 MELROSE AVENUE
ELKINS PARK PA 19027

Officer/Director/Trustee Two

VEDA TEAGLE
TREASURER
PO BOX 30224
ELKINS PARK PA 19027

Officer/Director/Trustee Three

TENEIKA BROWN
SECRETARY
1204 MELROSE AVENUE
ELKINS PARK PA 19027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2019
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Correctness Declaration Yes
Signature Name MICHAEL BROWN
Signature Title PRESIDENT
Signature Date 12/24/2019

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