FORM 1023-EZ for LIZZYS PLACE INC

Field Data
EIN 82-4249948
Case Number EO-2018064-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIZZYS PLACE INC
Organization’s Mailing Address 12643 SWEET HILL ROAD
City POLK CITY
State FL
ZIP 33868
Accounting period End 3
Primary contact name KERRY MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KERRY MILLER
DIRECTOR
12643 SWEET HILL ROAD
POLK CITY FL 33868

Officer/Director/Trustee Two

JOHN MILLER
DIRECTOR
12643 SWEET HILL ROADD
POLK CITY FL 33868

Officer/Director/Trustee Three

MORGAN OWENS-JOHNSON
DIRECTOR
8906 AZELA SANDS LANE
CHAMPIONS GATE FL 33896

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/18
Organization Incorporation State FL
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: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KERRY MILLER
Signature Title DIRECTOR
Signature Date 3/1/18

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