FORM 1023-EZ for LAWRENCE R FLEISCHER DEAF SPORTS FOUNDATION

Field Data
EIN 82-2991549
Case Number EO-2017290-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAWRENCE R FLEISCHER DEAF SPORTS FOUNDATION
Organization’s Mailing Address 1911 CAMINO LUMBRE
City SANTA FE
State NM
ZIP 87505-5699
Accounting period End 12
Primary contact name MARK APODACA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK APODACA
PRESIDENT
1911 CAMINO LUMBRE
SANTA FE NM 87505-5699

Officer/Director/Trustee Two

JEFF SALIT
VICE PRESIDENT
14233 ASHLEIGH GREENE ROAD
BOYDS MD 20841

Officer/Director/Trustee Three

JACK LAMBERTON
SECRETARY/TREASURER
822 STINGRAY TERRACE
FREMONT CA 94536-3256

Organization’s website
Organization’s email APODACA@USDEAFSPORTS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2017
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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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