FORM 1023-EZ for LAKE CITY COLLECTIVE

Field Data
EIN 36-4939852
Case Number EO-2020267-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE CITY COLLECTIVE
Organization’s Mailing Address PO BOX 27391
City SEATTLE
State WA
ZIP 98165-1891
Accounting period End 12
Primary contact name PEGGY R HERNANDEZ-ROJAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY HERNANDEZ-ROJAS
CO-FOUNDER
PO BOX 27391
SEATTLE WA 98165-1891

Officer/Director/Trustee Two

CESAR GARCIA-GARCIA
CO-FOUNDER
PO BOX 27391
SEATTLE WA 98165-1891

Organization’s website HTTPS://LAKECITYCOLLECTIVE.ORG/
Organization’s email LAKECITYCOLLECTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 PEGGY HERNANDEZ-ROJAS
Signature Title CO-FOUNDER
Signature Date 9/21/2020

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