FORM 1023-EZ for LAKE CITY COMMUNITY SCHOOL FOUNDATION

Field Data
EIN 83-0779787
Case Number EO-2018171-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE CITY COMMUNITY SCHOOL FOUNDATION
Organization’s Mailing Address PO BOX 818
City LAKE CITY
State CO
ZIP 81235-818
Accounting period End 6
Primary contact name PHILLIP VIRDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP VIRDEN
PRESIDENT
PO BOX 818
LAKE CITY CO 81235-818

Officer/Director/Trustee Two

ROB HUDGEONS
VICE PRESIDENT
PO BOX 1075
LAKE CITY CO 81235-1075

Officer/Director/Trustee Three

CAROLYN VIRDEN
SECRETARY/TREASURER
PO BOX 818
LAKE CITY CO 81235-818

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 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 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 PHILLIP VIRDEN
Signature Title PRESIDENT
Signature Date 6/6/18

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