FORM 1023-EZ for LULU COUNTRY CLUB FAMILY FOUNDATIONINC

Field Data
EIN 85-1140029
Case Number EO-2020178-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LULU COUNTRY CLUB FAMILY FOUNDATIONINC
Organization’s Mailing Address 1600 LIMEKILN PIKE
City GLENSIDE
State PA
ZIP 19038
Accounting period End 12
Primary contact name JON RUSK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN RUSK
PRESIDENT / DIRECTOR
1600 LIMEKILN PIKE
GLENSIDE PA 19038

Officer/Director/Trustee Two

MELISSA O TOOLE
SEC / TREAS / DIRECTOR
1600 LIMEKILN PIKE
GLENSIDE PA 19038

Officer/Director/Trustee Three

FRANK MALONEY
DIRECTOR
1600 LIMEKILN PIKE
GLENSIDE PA 19038

Officer/Director/Trustee Four

KASEY LUCARD
DIRECTOR
1600 LIMEKILN PIKE
GLENSIDE PA 19038

Officer/Director/Trustee Five

ANNE WILCOX
DIRECTOR
1600 LIMEKILN PIKE
GLENSIDE PA 19038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 JONATHAN RUSK
Signature Title PRESIDENT / DIRECTOR
Signature Date 6/24/2020

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