FORM 1023-EZ for MACY RAY FARM INC

Field Data
EIN 81-0795425
Case Number EO-2016034-000098
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MACY RAY FARM INC
Organization’s Mailing Address 22595 VOSS HIATT AVE
City CICERO
State IN
ZIP 46034
Accounting period End 12
Primary contact name ANDREA BALAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREA BALAS
FOUNDER
10544 OAK RIDGE DR
ZIONSVILLE IN 46077

Officer/Director/Trustee Two

JEFF LINGENFELTER JR
CO FOUNDER
20901 HAGUE RD
NOBLESVILLE IN 46062

Officer/Director/Trustee Three

JEFF LINGENFELTER SR
BOARD CHAIRMAN
22595 VOSS HIATT AVE
CICERO IN 46034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State IN
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: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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