FORM 1023-EZ for LIFTED OUTDOORS

Field Data
EIN 84-3937172
Case Number EO-2020021-000699
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFTED OUTDOORS
Organization’s Mailing Address 4D STONEWALL WAY
City EXETER
State NH
ZIP 03833
Accounting period End 11
Primary contact name MASSICOTTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE MASSICOTTE
PRESIDENT
4D STONEWALL WAY
EXETER NH 03833

Officer/Director/Trustee Two

MATTHIAS BOHLER
VICE PRESIDENT
14 WHITTIER STREET
AMESBURY MA 01913

Officer/Director/Trustee Three

ANTOINE MOUCHATI
SECOND VICE PRESIDENT
2651 GRAPEWOOD LANE
BOULDER CO 80304

Officer/Director/Trustee Four

ELENA SEREIVIENE
SECRETARY
16 JUDITH ROAD
CHELMSFORD MA 01824

Officer/Director/Trustee Five

MINDAUGAS SEREIVA
TREASURER
16 JUDITH ROAD
CHELMSFORD MA 01824

Organization’s website HTTPS://WWW.LIFTEDOUTDOORS.COM/
Organization’s email JOY@LIFTEDOUTDOORS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2019
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 JOYCE MASSICOTTE
Signature Title PRESIDENT
Signature Date 1/18/2020

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