FORM 1023-EZ for LANE MICHAEL BIRCH FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 84-4405532 |
| Case Number | EO-2020043-000395 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LANE MICHAEL BIRCH FOUNDATION INC |
| Organization’s Mailing Address | 2360 400TH STREET SW |
| City | OXFORD |
| State | IA |
| ZIP | 52322 |
| Accounting period End | 12 |
| Primary contact name | KRISTIN BIRCH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KRISTIN BIRCH
PRESIDENT
2360 400TH STREET SW
OXFORD IA 52322
Officer/Director/Trustee Two
ANDREA KEMP
SECRETARY
460 BRADLEY PLACE UNIT 9
NORTH LIBERTY IA 52314
Officer/Director/Trustee Three
DESTANIE PRINGLE
VICE PRESIDENT
1443 HIGHWOOD DRIVE NW
CEDAR RAPIDS IA 52405
Officer/Director/Trustee Four
TORRI KLEIN
TREASURER
1007 W CHERRY STREET
NORTH LIBERTY IA 52317
Officer/Director/Trustee Five
KIANA CHALUPA
DIRECTOR
1905 GRANTWOOD DRIVE
IOWA CITY IA 52240
| Organization’s website | LANEMICHAELBIRCHFOUNDATION.ORG |
|---|---|
| Organization’s email | LMBFFOUNDATION@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/23/2020 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | KRISTIN BIRCH |
| Signature Title | PRESIDENT |
| Signature Date | 2/10/2020 |
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