FORM 1023-EZ for LUCYS PET PANTRY

Field Data
EIN 86-1269740
Case Number EO-2021056-000576
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUCYS PET PANTRY
Organization’s Mailing Address 2425 N 7TH AVE PL E
City NEWTON
State IA
ZIP 50208
Accounting period End 12
Primary contact name BRITTANY ECKERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BERNARD ECKERT
PRESIDENT
2425 N 7TH AVE PL E
NEWTON IA 50208

Officer/Director/Trustee Two

BRITTANY ECKERT
VICE PRESIDENT/SECRETARY
2425 N 7TH AVE PL E
NEWTON IA 50208

Officer/Director/Trustee Three

TERRI MCKINNEY
TREASURER
1718 N 2ND AVE E
NEWTON IA 50208

Organization’s website
Organization’s email lucyspetpantry@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
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 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 BRITTANY ECKERT
Signature Title VICE PRESIDENT/SECRETARY
Signature Date 1/9/2021

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