FORM 1023-EZ for LUKA THE LION FOUNDATION

Field Data
EIN 81-1247775
Case Number EO-2016049-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUKA THE LION FOUNDATION
Organization’s Mailing Address 1521 VALLEY RUN
City DURHAM
State NC
ZIP 27707-3667
Accounting period End 12
Primary contact name JULIA CONRAD FISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIA CONRAD FISHER
INCORPORATOR, BOARD MEMBER
1521 VALLEY RUN
DURHAM NC 27707-3667

Officer/Director/Trustee Two

ZACHARY FISHER
BOARD MEMBER
1521 VALLEY RUN
DURHAM NC 27707-3667

Officer/Director/Trustee Three

EMILY GELBLUM
TREASURER OF THE BOARD
2520 OVERLAND PSGE
CHAPEL HILL NC 27516-5841

Officer/Director/Trustee Four

KRISTEN SOUTHWORTH
SECRETARY OF THE BOARD
4100 KISMET
DURHAM NC 27705-2858

Officer/Director/Trustee Five

FRANCESCA PARIS-ALBERTSON
BOARD MEMBER
43 STONEBRIDGE DR
ASHEVILLE NC 28805-1463

Organization’s website WWW.LUKATHELIONFOUNDATION.ORG
Organization’s email JULIACONRADFISHER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G98 - Pediatrics
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 Yes
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
Signature Title
Signature Date

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