FORM 1023-EZ for THE CURTIS LUSHERS AND TANGELA LANEMEMORIAL FOUNDATION

Field Data
EIN 86-1843088
Case Number EO-2021119-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CURTIS LUSHERS AND TANGELA LANEMEMORIAL FOUNDATION
Organization’s Mailing Address PO BOX 622
City SAMSON
State AL
ZIP 36477
Accounting period End 12
Primary contact name CURTIS LANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CURTIS LANE
DIRECTOR
PO BOX 622
SAMSON AL 36477

Officer/Director/Trustee Two

TANGELA LANE
DIRECTOR
7348 ANNA ROSE DRIVE
MONTGOMERY AL 36117

Officer/Director/Trustee Three

EDWARD SMITH
DIRECTOR
7128 THOREAU CIRCLE
ATLANTA GA 30349

Officer/Director/Trustee Four

JEROME HARRIS
DIRECTOR
339 EAST PARMER ST
GREENVILLE AL 36037

Officer/Director/Trustee Five

WILLIE JOHNSON
DIRECTOR
220 NEW PROVIDENCE WAY
PIKE ROAD AL 36064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent 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 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 CURTIS LANE
Signature Title DIRECTOR
Signature Date 4/27/2021

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