FORM 1023-EZ for SINGLE L PRESERVE
| Field | Data |
|---|---|
| EIN | 85-4232719 |
| Case Number | EO-2021062-001665 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SINGLE L PRESERVE |
| Organization’s Mailing Address | 11501 LUCIAN WOOD RD |
| City | CEDARVILLE |
| State | AR |
| ZIP | 72932 |
| Accounting period End | 12 |
| Primary contact name | LENA PROVENZALE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LENA PROVENZALE
PRES./BOD
11501 LUCIAN WOOD RD
CEDARVILLE AR 72932
Officer/Director/Trustee Two
RACHAEL POLLACK
SEC.
8111 NW 72ND AVENUE
TAMARAC FL 33321
Officer/Director/Trustee Three
MATTHEW POLLACK
TREAS./BOD
8111 NW 72ND AVENUE
TAMARAC FL 33321
Officer/Director/Trustee Four
BRADLEY BRUINSMA
VICE PRES./BOD
600 SOUTH GOLD CANYON STREET
RIDGECREST CA 93555
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/25/2020 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D34 - Wildlife Sanctuary, Refuge |
| Organization’s purpose | Charitable: No 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 | 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 | 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 | LENA PROVENZALE |
| Signature Title | PRES./BOD |
| Signature Date | 12/28/2020 |
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