FORM 1023-EZ for LACE EM UP FOR LIBBY INC

Field Data
EIN 84-3820046
Case Number EO-2019333-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LACE EM UP FOR LIBBY INC
Organization’s Mailing Address 2015 GRESHAM LANE
City DAVIDSONVILLE
State MD
ZIP 21035
Accounting period End 12
Primary contact name FIONA J GOODWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FIONA GOODWIN
DIRECTOR
2015 GRESHAM LANE
DAVIDSONVILLE MD 21035

Officer/Director/Trustee Two

IAIN GOODWIN
DIRECTOR
2015 GRESHAM LANE
DAVIDSONVILLE MD 21035

Officer/Director/Trustee Three

MATTHEW BONZELLA
DIRECTOR/PRESIDENT
2714 BRADBURY COURT
DAVIDSONVILLE MD 21035

Officer/Director/Trustee Four

JENNIFER DORR
DIRECTOR/SECRETARY
3495 VICKSBURG DRIVE
DAVIDSONVILLE MD 21035

Officer/Director/Trustee Five

MELISSA BARTEK
DIRECTOR/TREASURER
3521 RUSSELL THOMAS LANE
DAVIDSONVILLE MD 21035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2019
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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 FIONA GOODWIN
Signature Title DIRECTOR
Signature Date 11/27/2019

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