FORM 1023-EZ for LOST PET RECOVERY INC

Field Data
EIN 81-5390518
Case Number EO-2017242-000416
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOST PET RECOVERY INC
Organization’s Mailing Address PO BOX 578
City PICKERINGTON
State OH
ZIP 43147-9998
Accounting period End 12
Primary contact name KIMBERLY CHICHESTER TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD CORSMEIER
PRESIDENT
3181 PONDEROSA DR
COLUMBUS OH 45247

Officer/Director/Trustee Two

JULIA GOMEZ-FERNANDEZ
VICE PRESIDENT
1598 DOONE RD
COLUMBUS OH 43221

Officer/Director/Trustee Three

KIMBERLY CHICHESTER
TREASURER
13527 LIMNWORTHY DR NW
PICKERINGTON OH 43147

Officer/Director/Trustee Four

EMILY DIRR
SECRETARY
8702 TANAGERWOODS DR
MONTGOMERY OH 45249

Officer/Director/Trustee Five

ASHLEY CERKAN
MEDICAL OFFICER
374 KELLYBROOK PL
GALLOWAY OH 43119

Organization’s website WWW.LOSTPETRECOVERY.ORG
Organization’s email INFO@LOSTPETRECOVERY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
Organization Incorporation State OH
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: 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 Yes
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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