FORM 1023-EZ for LAKE CHAPALA UNITARIAN UNIVERSALISTFUND INC

Field Data
EIN 83-1570707
Case Number EO-2018257-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE CHAPALA UNITARIAN UNIVERSALISTFUND INC
Organization’s Mailing Address 5802 BOB BULLOCK C1 UNIT 328C-040
City LAREDO
State TX
ZIP 78041-8807
Accounting period End 12
Primary contact name LORNA DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEWIS CRIPPEN
PRESIDENT
5802 BOB BULLOCK C1 328C-132
LAREDO TX 78041-8807

Officer/Director/Trustee Two

NORMAN WOODS
VICE PRESIDENT
5802 BOB BULLOCK C1 UNIT 328C-040
LAREDO TX 78041-8807

Officer/Director/Trustee Three

SUSAN MILLER
TREASURER
5753 HIGHWAY 85N NO 687
CRESTVIEW FL 32536-9365

Officer/Director/Trustee Four

LORNA DEAN
SECRETARY
3063 CLUBHOUSE HILL ROAD
HARRISONBURG VA 22801-3593

Officer/Director/Trustee Five

JOAN WARD
DIRECTOR
5802 BOB BULLOCK C1 STE 328C-125
LAREDO TX 78041-8807

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 No
Conducting Activities Outside of United States Yes
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 LORNA DEAN
Signature Title SECRETARY
Signature Date 9/12/18

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