FORM 1023-EZ for LAKES AREA PET SOCIETY

Field Data
EIN 81-1292319
Case Number EO-2016034-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKES AREA PET SOCIETY
Organization’s Mailing Address 574 WASHINGTON STREET
City EUCHA
State OK
ZIP 74342
Accounting period End 1
Primary contact name LUDIE ERICKSTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUDIE ERICKSTEN
DIRECTOR
PO BOX 172
DISNEY OK 74340

Officer/Director/Trustee Two

ROB BROWN
BOARD MEMBER
PO BOX 172
DISNEY OK 74340

Officer/Director/Trustee Three

JULIE TOWNES
BOARD MEMBER
215 S WILSON
VINITA OK 74301

Officer/Director/Trustee Four

THOMAS BENTON
BOARD MEMBER
PO BOX 627
KETCHUM OK 74349

Organization’s website
Organization’s email LAKESAREAPETSHELTER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2015
Organization Incorporation State OK
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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