FORM 1023-EZ for LAKE HAVASU FELLOWSHIP HALL INC

Field Data
EIN 82-4921437
Case Number EO-2018107-000799
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE HAVASU FELLOWSHIP HALL INC
Organization’s Mailing Address 75 CAPRI LANE
City LAKE HAVASU CITY
State AZ
ZIP 86403
Accounting period End 12
Primary contact name RANDY WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDY WARD
PRESIDENT
3570 PONTCHATRAIN
LAKE HAVASU CITY AZ 86404

Officer/Director/Trustee Two

MICHELLE POUNDERS
VICE PRESIDENT
2037 CHIP DRIVE
LAKE HAVASU CITY AZ 86406

Officer/Director/Trustee Three

JAMES FOSTER
DIRECTOR
150 S HIGHWAY 160 APT 305
PAHRUMP NV 89048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/17
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: No
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 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 RANDY WARD
Signature Title PRESIDENT
Signature Date 3/29/18

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