FORM 1023-EZ for LIVING LAG

Field Data
EIN 84-4236291
Case Number EO-2020027-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING LAG
Organization’s Mailing Address 8613 WEST CHERRY STREET
City BENTON
State AR
ZIP 72015
Accounting period End 12
Primary contact name CAROL LEE HOLLINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL LEE HOLLINGER
OFFICER, PRESIDENT
8613 WEST CHERRY
BENTON AR 72015

Officer/Director/Trustee Two

ERIC NGANGE
DIRECTOR
8613 WEST CHERRY
BENTON AR 72015

Officer/Director/Trustee Three

MAX HOLLINGER
DIRECTOR
114 GRANT 48
PRATTSVILLE AR 72129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2019
Organization Incorporation State AR
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 Yes
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 CAROL LEE HOLLINGER
Signature Title OFFICER, PRESIDENT
Signature Date 1/24/2020

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