FORM 1023-EZ for LILYS SUGARBABY FOUNDATION

Field Data
EIN 81-4865172
Case Number EO-2017153-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LILYS SUGARBABY FOUNDATION
Organization’s Mailing Address 515 ABERNATHY OAKS WAY
City ALPHARETTA
State GA
ZIP 30004
Accounting period End 12
Primary contact name LYDIA OLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYDIA OLSEN
DIRECTOR
515 ABERNATHY OAKS WAY
ALPHARETTA GA 30004

Officer/Director/Trustee Two

MATHILDE PETERS
SECRETARY
560 ABERNATHY OAKS WAY
ALPHARETTA GA 30004

Officer/Director/Trustee Three

GERARD OLSEN
TREASURER
515 ABERNATHY OAKS WAY
ALPHARETTA GA 30004

Organization’s website CANINEDIABETESFUND.ORG
Organization’s email LYDIA@CANINEDIABETESFUND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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