FORM 1023-EZ for LAWRENCE BREAKFAST OPTIMIST FOUNDATION

Field Data
EIN 86-1802079
Case Number EO-2021085-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAWRENCE BREAKFAST OPTIMIST FOUNDATION
Organization’s Mailing Address 908 ANDOVER STREET
City LAWRENCE
State KS
ZIP 66049
Accounting period End 9
Primary contact name JAMES RUMSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES RUMSEY
SECRETARY
908 ANDOVER STREET
LAWRENCE KS 66049

Officer/Director/Trustee Two

ALEJANDRA GUZMAN-CARRASCO
PRESIDENT
5810 GRAYHAWK DRIVE
LAWRENCE KS 66047

Officer/Director/Trustee Three

EMILY WILLIS-STEWART
VICE PRESIDENT
1421 WEST 21ST STREET
LAWRENCE KS 66049

Officer/Director/Trustee Four

TOM WADE
TREASURER
5906 LONGLEAF DRIVE
LAWRENCE KS 66049

Officer/Director/Trustee Five

JANE HARRIS
BOARD MEMBER
606 DAYLILY DRIVE
LAWRENCE KS 66049

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2021
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 JAMES RUMSEY
Signature Title SECRETARY
Signature Date 2/3/2021

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