FORM 1023-EZ for LAKEFARM LEARNING

Field Data
EIN 87-1959825
Case Number EO-2021263-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKEFARM LEARNING
Organization’s Mailing Address 7224 COLD SPRINGS ROAD
City PENNGROVE
State CA
ZIP 94951
Accounting period End 6
Primary contact name DAWN E BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN E BROWN
OFFICER
7224 COLD SPRINGS ROAD
PENNGROVE CA 94951

Officer/Director/Trustee Two

VIRGINIA WEISZ
OFFICER
96 DEXTER ROAD
NEWTONVILLE MA 02460

Officer/Director/Trustee Three

DAVID GRAVES
DIRECTOR
5800 COACH GATE WYNDE DRIVE APT 279
LOUISVILLE KY 40207

Officer/Director/Trustee Four

KENJI HIRABAYSHI
DIRECTOR
908 E STREET
SAN RAFAEL CA 94901

Officer/Director/Trustee Five

SUSAN SCHROEDER
DIRECTOR
48 HAWTHORNE AVENUE
SAN ANSELMO CA 94960

Organization’s website WWW.LAKEFARMLEARNING.ORG
Organization’s email LAKEFARMLEARNING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 7/29/2021
Organization Incorporation State CA
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption Yes
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 DAWN E BROWN
Signature Title OFFICER
Signature Date 9/16/2021

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