FORM 1023-EZ for OUR LADY OF THE LAKE

Field Data
EIN 90-0888650
Case Number EO-2016021-000480
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR LADY OF THE LAKE
Organization’s Mailing Address 3686 S LAKEVIEW LOOP 11
City WASILLA
State AK
ZIP 99623-1010
Accounting period End 9
Primary contact name CAROL HEPLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN REIDER
PRESIDENT
3686 S LAKEVIEW LOOP 11
WASILLA AK 99623-1010

Officer/Director/Trustee Two

CAROL HEPLER
SECRETARY
10105 W HERKIMER DR
WASILLA AK 99623-4172

Officer/Director/Trustee Three

BARBARA HULBERT
TREASURER
6177 S BIG LAKE RD
WASILLA AK 99623-4804

Officer/Director/Trustee Four

CONI BRUEGGEMAN
FOOD PANTRY CHAIR
PO BOX 520684
BIG LAKE AK 99652

Officer/Director/Trustee Five

MARDEL DAHLEN
SPIRITUAL ADVISOR
PO BOX 624
WILLOW AK 99688

Organization’s website
Organization’s email OURLADYOFC@MTAONLINE.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2002
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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