FORM 1023-EZ for LAKE COUNTY COMMUNITY SUPPORT
| Field | Data |
|---|---|
| EIN | 85-1220162 |
| Case Number | EO-2020209-000699 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKE COUNTY COMMUNITY SUPPORT |
| Organization’s Mailing Address | 75950 US HIGHWAY 93 |
| City | SAINT IGNATIUS |
| State | MT |
| ZIP | 59865 |
| Accounting period End | 4 |
| Primary contact name | SHAYNA CULLINAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHAYNA CULLINAN
EXECUTIVE DIRECTOR/ PRESIDENT
75950 US HIGHWAY 93
ST.IGNATIUS MT 59865
Officer/Director/Trustee Two
AMANDA DALKE
SECRETARY
75950 US HIGHWAY 93
ST.IGNATIUS MT 59865
Officer/Director/Trustee Three
SANDRA BLEVINS
TREASURER
75950 US HIGHWAY 93
ST.IGNATIUS MT 59865
Officer/Director/Trustee Four
SHANNON PARKER
BOARD DIRECTOR
75950 US HIGHWAY 93
ST.IGNATIUS MT 59865
Officer/Director/Trustee Five
BENJAMIN CULLINAN
BOARD DIRECTOR
75950 US HIGHWAY 93
ST.IGNATIUS MT 59865
| Organization’s website | LAKECOUNTY2020.COM |
|---|---|
| Organization’s email | LAKECOUNTY2020@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/1/2020 |
| Organization Incorporation State | MT |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SHAYNA CULLINAN |
| Signature Title | EXECUTIVE DIRECTOR/ PRESIDENT |
| Signature Date | 7/20/2020 |
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