FORM 1023-EZ for LOST LAMBS INC

Field Data
EIN 83-4218254
Case Number EO-2019102-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOST LAMBS INC
Organization’s Mailing Address PO BOX 366306
City BONITA SPRINGS
State FL
ZIP 34136
Accounting period End 2
Primary contact name WILLIAM GRIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM GRIZ
DIRECTOR
10950 MABIZZ DR
BONITA SPRINGS FL 34135

Officer/Director/Trustee Two

SUSAN GRIZ
PRESIDENT
10950 MABIZZ DR
BONITA SPRINGS FL 34135

Officer/Director/Trustee Three

JEFFREY DUCHARME
DIRECTOR
2291 SW MOUNTAIN DR
BARTLESVILLE OK 74003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 Yes
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 WILLIAM GRIZ
Signature Title DIRECTOR
Signature Date 4/10/19

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