FORM 1023-EZ for MARK OF THE LILY INC

Field Data
EIN 87-1364068
Case Number EO-2021231-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARK OF THE LILY INC
Organization’s Mailing Address 24979 CONSTITUTION AVE 1226
City STEVENSON RANCH
State CA
ZIP 91381
Accounting period End 12
Primary contact name NIKKI KARLSSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKKI KARLSSON
PRESIDENT & DIRECTOR
24979 CONSTITUTION AVE 1226
STEVENSON RANCH CA 91381

Officer/Director/Trustee Two

HANNAH WURGLER
SECRETARY
232 OLD CREEK TRAIL
PAYSON AZ 85541

Officer/Director/Trustee Three

LAURA PITASSI
TREASURER
20 COUNTRY CLUB DRIVE 36
MANCHESTER NH 03102

Organization’s website
Organization’s email NIKKI.KARLSSON23@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2021
Organization Incorporation State CA
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 Yes
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 NIKKI KARLSSON
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/17/2021

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