FORM 1023-EZ for LAKES AREA DOG PARK INC

Field Data
EIN 46-5383795
Case Number EO-2014265-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKES AREA DOG PARK INC
Organization’s Mailing Address PO BOX 155
City ARNOLDS PARK
State IA
ZIP 51331
Accounting period End 6
Primary contact name AMY PAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY PAS
PRESIDENT
64 WEST BROADWAY STREET
ARNOLDS PARK IA 51331

Officer/Director/Trustee Two

CONNIE RHODES
VICE PRESIDENT
1403 BROOKS LANE
OKOBOJI IA 51355

Officer/Director/Trustee Three

LISA ROTI
SECRETARY
PO BOX 346
SPIRIT LAKE IA 51360

Officer/Director/Trustee Four

TANYA WEBBER
TREASURER
2401 DENVER AVENUE
SPIRIT LAKE IA 51360

Officer/Director/Trustee Five

JIM PARKS
BOARD MEMBER
PO BOX 214
OKOBOJI IA 51355

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2014
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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
Signature Title
Signature Date

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