FORM 1023-EZ for PATRICIA LOCKE FOUNDATION

Field Data
EIN 83-1758257
Case Number EO-2018250-000412
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRICIA LOCKE FOUNDATION
Organization’s Mailing Address PO BOX 22
City WAKPALA
State SD
ZIP 57658
Accounting period End 12
Primary contact name KEVIN LOCKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN LOCKE
DIRECTOR
12484 HWY 1806
WAKPALA SD 57658

Officer/Director/Trustee Two

CEYLAN ISGOR
DIRECTOR
12484 HWY 1806
WAKPALA SD 57658

Officer/Director/Trustee Three

EDWARD SANTOS
DIRECTOR
146 E MAIN ST NUMBER 109
NASHVILLE IN 47448

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/18
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 KEVIN LOCKE
Signature Title DIRECTOR
Signature Date 9/5/18

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