FORM 1023-EZ for LAUREL MOUNTAIN K9 SEARCH AND RESCUE
| Field | Data |
|---|---|
| EIN | 83-0989996 |
| Case Number | EO-2018194-000183 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAUREL MOUNTAIN K9 SEARCH AND RESCUE |
| Organization’s Mailing Address | 1247 BALSAM ROAD |
| City | WELLSBORO |
| State | PA |
| ZIP | 16901 |
| Accounting period End | 12 |
| Primary contact name | LISA RICE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LISA RICE
PRESIDENT
1247 BALSAM ROAD
WELLSBORO PA 16901-9500
Officer/Director/Trustee Two
TRACY SIEK
VICE PRESIDENT
22 HICKORY TERRACE
WELLSBORO PA 16901
Officer/Director/Trustee Three
SHAY KERNS-BARR
DIRECTOR
1649 OLD STATE ROAD
MAINESBURG PA 16932
Officer/Director/Trustee Four
BELINDA ROOT
DIRECTOR
102 WEST WOODLAWN AVE
ELKLAND PA 16920
Officer/Director/Trustee Five
MARCIA SMITH
SECRETARY/TREASURER
102 WEST WOODLAWN AVE
ELKLAND PA 16920
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/24/18 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M23 - Search and Rescue Squads, Services |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | LISA RICE |
| Signature Title | PRESIDENT |
| Signature Date | 7/11/18 |
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