FORM 1023-EZ for THE ICE LOTUS INC

Field Data
EIN 47-2130620
Case Number EO-2014297-000614
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ICE LOTUS INC
Organization’s Mailing Address 11167 MULBERRY ST
City SEBASTIAN
State FL
ZIP 32958
Accounting period End 12
Primary contact name LARRY LANSING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD PETERSON
PRESIDENT, DIRECTOR
11167 MULBERRY ST
SEBASTIAN FL 32958

Officer/Director/Trustee Two

RACHEL SIDMAN
SECRETARY, DIRECTOR
11155 ROSELAND RD STE 15
SEBASTIAN FL 32958

Officer/Director/Trustee Three

LARRY LANSING
TREASURER, DIRECTOR
88 CROOKED TREE LN STE 205
VERO BEACH FL 32962

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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