FORM 1023-EZ for LAKELAND VILLAGE ASSOCIATES

Field Data
EIN 91-6054632
Case Number EO-2019106-000154
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKELAND VILLAGE ASSOCIATES
Organization’s Mailing Address PO BOX 200
City MEDICAL LAKE
State WA
ZIP 99022
Accounting period End 12
Primary contact name NORA MCKINNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONNIE SULLIVAN
PRESIDENT
PO BOX 200
MEDICAL LAKE WA 99022

Officer/Director/Trustee Two

DIANE HARPER
SECRETARY
PO BOX 200
MEDICAL LAKE WA 99022

Officer/Director/Trustee Three

NORA MCKINNEY
TREASURER
PO BOX 30429
SPOKANE WA 99223

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/70
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NORA MCKINNEY
Signature Title TREASURER
Signature Date 4/14/19

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