FORM 1023-EZ for LAKE COUNTY HELPING HAND

Field Data
EIN 47-5175112
Case Number EO-2018262-000304
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE COUNTY HELPING HAND
Organization’s Mailing Address 5732 LILLIAN DRIVE
City KELSEYVILLE
State CA
ZIP 95451
Accounting period End 12
Primary contact name PATRICIA SERAFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA SERAFIN
PRESIDENT AND TREASURER
5732 LILLIAN DRIVE
KELSEYVILLE CA 95451

Officer/Director/Trustee Two

GERARDO SERAFIN
CHIEF OPERATING OFFICER
5732 LILLIAN DRIVE
KELSEYVILLE CA 95451

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/15
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICIA SERAFIN
Signature Title PRESIDENT AND TREASURER
Signature Date 9/17/18
EIN 47-5175112
Case Number EO-2015273-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE COUNTY HELPING HAND
Organization’s Mailing Address 5732 LILLIAN DRIVE
City KELSEYVILLE
State CA
ZIP 95451
Accounting period End 12
Primary contact name PATRICIA DELGADO-SERAFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA DELGADO-SERAFIN
PRESIDENT AND TREASURER
5732 LILLIAN DRIVE
KELSEYVILLE CA 95451

Officer/Director/Trustee Two

GERARDO SERAFIN
CHAIRPERSON
5732 LILLIAN DRIVE
KELSEYVILLE CA 95451

Officer/Director/Trustee Three

EDGAR OLTIVEROS
CHAIRPERSON
14595 OLYMPIC DRIVE
CLEARLAKE CA 95422

Officer/Director/Trustee Four

JOSUE JAQUEZ
VOTING MEMBER
5524 KONOCTI TERRACE
KELSEYVILLE CA 95451

Organization’s website
Organization’s email GODSHELPINGHAND5732@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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
Signature Title
Signature Date

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