FORM 1023-EZ for LYME FIGHT FOUNDATION

Field Data
EIN 85-1080900
Case Number EO-2020258-000637
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYME FIGHT FOUNDATION
Organization’s Mailing Address 4005 MANZANITA AVE STE 6 BOX 147
City CARMICHAEL
State CA
ZIP 95608
Accounting period End 12
Primary contact name MELISSA MOYA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA MOYA
CEO
3735 WINSTON WAY
CARMICHAEL CA 95608

Officer/Director/Trustee Two

CATHY BRADY
TREASURE
4507 MAPLE LANE
CARMICHAEL CA 95608

Officer/Director/Trustee Three

LIZ JORGENSEN
COO
5403 PIXIE COURT
CARMICHAEL CA 95608

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA MOYA
Signature Title CEO
Signature Date 9/11/2020

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