FORM 1023-EZ for FRIENDS OF LACKOTA ANIMAL SANCTUARY

Field Data
EIN 86-1490591
Case Number EO-2021088-000673
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF LACKOTA ANIMAL SANCTUARY
Organization’s Mailing Address 2937 W COUNTY ROAD 38 E
City FORT COLLINS
State CO
ZIP 80526-5335
Accounting period End 12
Primary contact name THOMAS MUNHOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL DAMEWOOD
EXECUTIVE DIRECTOR & DIRECTOR
2937 W COUNTY ROAD 38 E
FORT COLLINS CO 80526-5335

Officer/Director/Trustee Two

THOMAS MUNHOLLAND
PRESIDENT
2937 W COUNTY ROAD 38 E
FORT COLLINS CO 80526-5335

Officer/Director/Trustee Three

BREE JONES
SECRETARY
817 SKYLINE DR
FORT COLLINS CO 80521

Officer/Director/Trustee Four

LAURIE SUPPES
VICE PRESIDENT & TREASURER
3354 DUNBAR AVENUE
FORT COLLINS CO 80526

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 THOMAS MUNHOLLAND
Signature Title PRESIDENT
Signature Date 2/9/2021

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