FORM 1023-EZ for LYME CARE RESOURCE CENTER

Field Data
EIN 82-3218183
Case Number EO-2018174-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYME CARE RESOURCE CENTER
Organization’s Mailing Address 3805 GRACELAND COURT
City ELLICOTT CITY
State MD
ZIP 21042
Accounting period End 12
Primary contact name G RICHARD SCHOLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILIP KENNEY
PRESIDENT
116 NAPA RIDGE WAY
NAPLES FL 34119

Officer/Director/Trustee Two

SHIREEN RUSBY
VICE PRESIDENT
29 KINGSLEY ROAD
OWINGS MILLS MD 21117

Officer/Director/Trustee Three

NORA KENNEY
SECRETARY
1113 SOUTH ELLWOOD STREET
BALTIMORE MD 21224

Officer/Director/Trustee Four

G RICHARD SCHOLL
TREASURER
12300 ROSSLARE RIDGE ROAD
TIMONIUM MD 21093

Organization’s website WWW.LYMECENTER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/17
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 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 G RICHARD SCHOLL
Signature Title TREASURER
Signature Date 6/20/18

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