FORM 1023-EZ for LYME AIDE INC

Field Data
EIN 46-5647640
Case Number EO-2017146-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LYME AIDE INC
Organization’s Mailing Address 2553 HEARTHSTONE DR
City HAMPSHIRE
State IL
ZIP 60140
Accounting period End 12
Primary contact name SHANNON BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON BELL
DIRECTOR
2553 HEARTHSTONE DR
HAMPSHIRE IL 60140

Officer/Director/Trustee Two

BRIAN RAPIER
DIRECTOR
2553 HEARTHSTONE DR
HAMPSHIRE IL 60140

Officer/Director/Trustee Three

ARLENE MEYERS
TREASURER
1895 BARKER CYPRESS RD
HOUSTON TX 77804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 Yes
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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