FORM 1023-EZ for LASTING CARE OUTREACH FAMILY SERVICES INC

Field Data
EIN 81-1623069
Case Number EO-2017034-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LASTING CARE OUTREACH FAMILY SERVICES INC
Organization’s Mailing Address 27615 US HWY 27 SUITE 109 NO 232
City LEESBURG
State FL
ZIP 34748
Accounting period End 12
Primary contact name MARISA BENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARISA BENSON
CEO
304 SANDY OAK CIRCLE APT 303
LEESBURG FL 34748

Officer/Director/Trustee Two

CRYSTAL WOODEN
DIRECTOR
306 E IDLEWILD AVE
EUSTIS FL 32726

Officer/Director/Trustee Three

DONNA ANDREWS
DIRECTOR
509 GOSS AVE
LEESBURG FL 34748

Officer/Director/Trustee Four

TWYINE LITTLEJOHN
DIRECTOR
806 GEORGIA AVE
LEESBURG FL 34748

Officer/Director/Trustee Five

KIM KINIRY
DIRECTOR
1114 GLENRDGE DR
LEESBURG FL 34748

Organization’s website WWW.LASTINGCARE.ORG
Organization’s email LCOFSINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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