FORM 1023-EZ for LOST DOG SEARCH TEAM OF MICHIGAN LTD

Field Data
EIN 81-4276945
Case Number EO-2017017-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOST DOG SEARCH TEAM OF MICHIGAN LTD
Organization’s Mailing Address 5900 GREAT LAKES BOULEVARD
City HOLLY
State MI
ZIP 48442-8763
Accounting period End 12
Primary contact name GEORGE PEARCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN FIEDOR
DIRECTOR
5900 GREAT LAKES BOULEVARD
HOLLY MI 48442-8763

Officer/Director/Trustee Two

AUDREY SWARZ
DIRECTOR
5900 GREAT LAKES BOULEVARD
HOLLY MI 48442-8763

Officer/Director/Trustee Three

MICHELLE ALBERS
DIRECTOR
5900 GREAT LAKES BOULEVARD
HOLLY MI 48442-8763

Officer/Director/Trustee Four

DEBORAH J ATKINS
DIRECTOR
5900 GREAT LAKES BOULEVARD
HOLLY MI 48442-8763

Officer/Director/Trustee Five

KATHERINE CRAMER-RAUPP
DIRECTOR
5900 GREAT LAKES BOULEVARD
HOLLY MI 48442-8763

Organization’s website NONE
Organization’s email RFIEDOR@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
Organization Incorporation State MI
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 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 Yes
One Third Support Gifts No
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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