FORM 1023-EZ for THE LEXI LEWIS FOUNDATION INC

Field Data
EIN 46-4121612
Case Number EO-2015097-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LEXI LEWIS FOUNDATION INC
Organization’s Mailing Address 3300 FOX CHASE CIRCLE N APT 234
City PALM HARBOR
State FL
ZIP 34683-2350
Accounting period End 12
Primary contact name ELINOR M WATTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELINOR WATTS
CHIEF EXECUTIVE OFFICER
3300 FOX CHASE CIRCLE N APT 234
PALM HARBOR FL 34683-2350

Officer/Director/Trustee Two

OBBA BABATUNDE
DIRECTOR
19360 RINALDI ST
PORTER RANCH CA 91326-1607

Officer/Director/Trustee Three

KIMBERLY WEATHERLY
DIRECTOR
6453 N HOYNE APT 1
CHICAGO IL 60645-5640

Officer/Director/Trustee Four

RACHEL AQUINO
DIRECTOR
1848 MONTICELLO STREET
DELTONA FL 32738-4816

Officer/Director/Trustee Five

KATY ADKINS
DIRECTOR
10800 BRIGHTON BAY BLVD APT 6204
ST. PETERSBURG FL 33716-3478

Organization’s website
Organization’s email LEXILEWISMUSIC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
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 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
Signature Title
Signature Date

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