FORM 1023-EZ for LOST ANGELS FOUNDATION

Field Data
EIN 47-4462664
Case Number EO-2017067-000493
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOST ANGELS FOUNDATION
Organization’s Mailing Address 2266 SAINT PAUL RD
City SUMMERTON
State SC
ZIP 29148
Accounting period End 12
Primary contact name BRYANT LAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYANT LAWSON
PRESIDENT
2266 SAINT PAUL RD
SUMMERTON SC 29148

Officer/Director/Trustee Two

TERRANCE HOUSE
TREASURER
3610 RHODOVENDRON ST
SUMTER SC 29154

Officer/Director/Trustee Three

ERIKA MIVENS
SECRETARY
15388 LUCAS FERRY ROAD
ATHENS AL 35614

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 Yes
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
Signature Title
Signature Date

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