FORM 1023-EZ for LAKEMORE DOGS HOMEWARD BOUND

Field Data
EIN 86-2418466
Case Number EO-2021096-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKEMORE DOGS HOMEWARD BOUND
Organization’s Mailing Address 2214 CANTON ROAD
City AKRON
State OH
ZIP 44312
Accounting period End 12
Primary contact name KELLIE JOANN CHAPMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLIE CHAPMAN
DIRECTOR, PRESIDENT
2214 CANTON ROAD
AKRON OH 44312

Officer/Director/Trustee Two

MIKE HAHN
DIRECTOR, VICE PRESIDENT
166 CLEMENT AVENUE
NEW FRANKLIN OH 44319

Officer/Director/Trustee Three

DEBBIE PASTOR
DIRECTOR, TREASURER
3099 DOVER DRIVE
AKRON OH 44312

Officer/Director/Trustee Four

RICHARD COLE
DIRECTOR, SECRETARY
1560 SUNNYSIDE AVENUE
LAKEMORE OH 44250

Officer/Director/Trustee Five

KEN RAY
DIRECTOR
1539 OAKS DRIVE
LAKEMORE OH 44250

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2021
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLIE CHAPMAN
Signature Title DIRECTOR, PRESIDENT
Signature Date 3/6/2021

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