FORM 1023-EZ for THE LILLY STEM FOUNDATION

Field Data
EIN 82-4536499
Case Number EO-2018120-000698
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE LILLY STEM FOUNDATION
Organization’s Mailing Address 1101 OLD RANCH ROAD
City CAMARILLO
State CA
ZIP 93012-4406
Accounting period End 12
Primary contact name DEBORAH LILLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH LILLY
SECRETARY/BOARD MEMBER
1101 OLD RANCH ROAD
CAMARILLO CA 93012-4406

Officer/Director/Trustee Two

CHARLES LILLY
BOARD MEMBER/DIRECTOR
1101 OLD RANCH ROAD
CAMARILLO CA 93012-4405

Officer/Director/Trustee Three

ANGELINA DARLING LILLY
PRESIDENT/BOARD MEMBER
5721 S JELLISON STREET
LITTLETON CO 80123

Officer/Director/Trustee Four

TAYLOR LILLY
TREASURER/BOARD MEMBER
5721 S JELLISION STREET
LITTLETON CO 80123

Organization’s website LILLYSTEM.ORG
Organization’s email DLILLY@LILLYSTEM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH LILLY
Signature Title SECRETARY/BOARD MEMBER
Signature Date 4/27/18

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