FORM 1023-EZ for THE LAKE PISO FOUNDATION

Field Data
EIN 47-4245820
Case Number EO-2015180-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LAKE PISO FOUNDATION
Organization’s Mailing Address 1520 GRANADA AVE N NO 208
City OAKDALE
State MN
ZIP 55128
Accounting period End 12
Primary contact name VIVIAN GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VIVIAN GRAY
PRESIDENT
1520 GRANADA AVE N NO 208
OAKDALE MN 55128

Officer/Director/Trustee Two

DAVID KOLUBA
BOARD MEMBER
5435 W 39TH ST
ODESSA TX 79764

Officer/Director/Trustee Three

WINIFRED BARBU
SECRETARY
941 S AVENUE APT C4
SECANE PA 19018

Officer/Director/Trustee Four

YVONNE WILLIAM
VICE-PRESIDENT
1520 GRANADA AVE N NO 208
OAKDALE MN 55128

Officer/Director/Trustee Five

MARIE ALIE
TREASURER
6276 12TH STREET N NO 207
OAKDALE MN 55128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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