FORM 1023-EZ for LEXIS KITTY CORNER INCORPORATED

Field Data
EIN 86-1331669
Case Number EO-2021088-000503
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEXIS KITTY CORNER INCORPORATED
Organization’s Mailing Address 11850 NW 70TH AVE
City CHIEFLAND
State FL
ZIP 32626
Accounting period End 12
Primary contact name ALEXIS LYNN LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXIS LYNN LEWIS
PRESIDENT / TREAS / DIR
11850 NW 70TH AVE
CHIEFLAND FL 32626

Officer/Director/Trustee Two

JORDAN SAMUEL DUVALL
SECRETARY / DIRECTOR
11850 NW 70TH AVE
CHIEFLAND FL 32626

Officer/Director/Trustee Three

ALEXZANDER JAMES BROOKS
VICE PRESIDENT / DIRECTOR
11850 NW 70TH AVE
CHIEFLAND FL 32626

Officer/Director/Trustee Four

ROBERT KENNETH LEWIS JR
DIRECTOR
11850 NW 70TH AVE
CHIEFLAND FL 32626

Officer/Director/Trustee Five

ASHLEY ELIZABETH CAMERON
DIRECTOR
11850 NW 70TH AVE
CHIEFLAND FL 32626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JORDAN SAMUEL DUVALL
Signature Title SECRETARY / DIRECTOR
Signature Date 2/11/2021

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