FORM 1023-EZ for LAZY J RESCUE RANCH

Field Data
EIN 84-2629295
Case Number EO-2019343-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAZY J RESCUE RANCH
Organization’s Mailing Address 1078 230TH STREET
City GOLDFIELD
State IA
ZIP 50542-7560
Accounting period End 12
Primary contact name TYLER LINN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL COLEMAN
REGISTERED AGENT
1827 CORNELIA DR
CLARION IA 50525

Officer/Director/Trustee Two

TYLER LINN
PRESIDENT, DIRECTOR, INCORPORATOR
1078 230TH STREET
GOLDFIELD IA 50542-7560

Officer/Director/Trustee Three

HALEY FITZPATRICK
SECRETARY, TREASURER, INCORPORATOR
1078 230TH STREET
GOLDFIELD IA 50542-7560

Officer/Director/Trustee Four

SHERRI FITZPATRICK
BOARD OF DIRECTORS MEMBER
2104 NW ASHTON LANE UNIT 3
ANKENY IA 50023-7808

Organization’s website WWW.FACEBOOK.COM/LAZYJRESCUERANCH/
Organization’s email LAZYJRESCUERANCH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2019
Organization Incorporation State IA
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 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 TYLER LINN
Signature Title PRESIDENT, DIRECTOR, INCORPORATOR
Signature Date 12/4/2019

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