FORM 1023-EZ for LOST SOULS CAT RESCUE

Field Data
EIN 85-1851857
Case Number EO-2021065-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOST SOULS CAT RESCUE
Organization’s Mailing Address 2135 SLEEPY HOLLOW ROAD
City FORT RIPLEY
State MN
ZIP 56449
Accounting period End 12
Primary contact name LISA OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA OBRIEN
PRESIDENT
2135 SLEEPY HOLLOW ROAD
FT. RIPLEY MN 56449

Officer/Director/Trustee Two

EILEEN LEVIN
VP
5379 BEACHSIDE DRIVE
MINNETONKA MN 55343

Officer/Director/Trustee Three

DAWN PERAULT
TREASURER
662 JOSEPHINE PLACE
ST PAUL MN 55116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State MN
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: 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 LISA OBRIEN
Signature Title PRESIDENT
Signature Date 1/15/2021

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