FORM 1023-EZ for LAKEWAY CASA INC

Field Data
EIN 46-0542387
Case Number EO-2016228-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKEWAY CASA INC
Organization’s Mailing Address 3441 WEST ANDREW JOHNSON HWY
City MORRISTOWN
State TN
ZIP 37814
Accounting period End 6
Primary contact name DENISE ALUDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL WALKER
CHAIRMAN
1065 SHIELDS FERRY RD
MORRISTOWN TN 37814

Officer/Director/Trustee Two

BILL GARLAND
VICE CHAIRMAN
1819 MAPLE ST
WHITE PINE TN 37890

Officer/Director/Trustee Three

SHARON OATS
TREASURER
1325 HICKORY LN
DANDRIDGE TN 37725

Officer/Director/Trustee Four

DENISE WALKER
SECRETARY
1819 MAPLE ST
WHITE PINE TN 37890

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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