FORM 1023-EZ for LUKE N LULUS ISLAND DOG RESCUE INC

Field Data
EIN 47-4483177
Case Number EO-2015362-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LUKE N LULUS ISLAND DOG RESCUE INC
Organization’s Mailing Address 105 SUZANNE COURT
City MERRITT ISLAND
State FL
ZIP 32952-2633
Accounting period End 12
Primary contact name BRIAN ARMBRUSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN ARMBRUSTER
PRESIDENT
105 SUZANNE COURT
MERRITT ISLAND FL 32952-2633

Officer/Director/Trustee Two

ROBYN ARMBRUSTER
SECRETARY
105 SUZANNE COURT
MERRITT ISLAND FL 32952-2633

Officer/Director/Trustee Three

JENNIFER ARMBRUSTER
DIRECTOR
27525 BREAKERS DRIVE
WESLEY CHAPEL FL 33544-6668

Officer/Director/Trustee Four

BARBARA AVELLA
DIRECTOR
8313 SPLIT CREEK CIRCLE
LAKELAND FL 33809-7246

Officer/Director/Trustee Five

LINDSAY GRAY
DIRECTOR
106 HOLLISTER SCHOOL RD
HOLLISTER FL 32147

Organization’s website
Organization’s email ISLANDDOGRESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
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: Yes
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 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
Signature Title
Signature Date

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