FORM 1023-EZ for LAKYNS CARE

Field Data
EIN 83-3439830
Case Number EO-2019042-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKYNS CARE
Organization’s Mailing Address 214 N PARK ST
City FAIRMONT
State MN
ZIP 56031
Accounting period End 12
Primary contact name LAKYN SATHOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKYN SATHOFF
TREASURE
214 N PARK ST
FAIRMONT MN 56031

Officer/Director/Trustee Two

CHLOE DENTON
SECRETARY
1618 130TH AVE
WELCOME MN 56181

Officer/Director/Trustee Three

VIVIAN DENTON
CHAIR PERSON
528 WATER ST
FAIRMONT MN 56031

Organization’s website
Organization’s email LAKYNSATHOFF10@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 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 LAKYN SATHOFF
Signature Title TREASURE
Signature Date 2/7/19

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