FORM 1023-EZ for LACE ANIMAL RESCUE

Field Data
EIN 84-4040735
Case Number EO-2019361-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LACE ANIMAL RESCUE
Organization’s Mailing Address 5640 WILSON RD
City COLUMBIAVILLE
State MI
ZIP 48421
Accounting period End 12
Primary contact name ANDREA TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA TUCKER
PRESIDENT
5640 WILSON RD
COLUMBIAVILLE MI 48421

Officer/Director/Trustee Two

PAMELA BINDER
TREASURER
10437 IRISH RD
OTISVILLE MI 48463

Officer/Director/Trustee Three

LYNN DEYOUNG
VICE PRESIDENT
1076 MIDLAND RD
BAY CITY MI 48706

Officer/Director/Trustee Four

DIANE LUNDBERG
SECRETARY
9352 GOLF CREST DR
DAVISON MI 48423

Officer/Director/Trustee Five

JODI CHILDERS
DIRECTOR
1519 WEXFORD DR
DAVISON MI 48423

Organization’s website
Organization’s email LACE_AR@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2019
Organization Incorporation State MI
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: No
Religious: No
Educational: Yes
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 ANDREA TUCKER
Signature Title PRESIDENT
Signature Date 12/25/2019

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