FORM 1023-EZ for FOUNDATION FOR LCA RESEARCH

Field Data
EIN 81-1186946
Case Number EO-2016025-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNDATION FOR LCA RESEARCH
Organization’s Mailing Address 10 LEXINGTON WAY
City LONG VALLEY
State NJ
ZIP 07853
Accounting period End 12
Primary contact name RYAN DAVIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MEGAN DAVIES
PRESIDENT/ DIRECTOR
10 LEXINGTON WAY
LONG VALLEY NJ 07853

Officer/Director/Trustee Two

RYAN DAVIES
SECRETARY/ DIRECTOR
10 LEXINGTON WAY
LONG VALLEY NJ 07853

Officer/Director/Trustee Three

RICHARD DAVIES
DIRECTOR
679 CEDAR LANE
PERKASIE PA 18944

Officer/Director/Trustee Four

FRANK KELLY
DIRECTOR
1603 FAIRFIELD RD
YARDLEY PA 19067

Officer/Director/Trustee Five

THOMAS MCINERNEY
DIRECTOR
10 N STATE ST
NEWTOWN PA 18940

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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