FORM 1023-EZ for EAGLE LAKE CAMP INC

Field Data
EIN 83-2544496
Case Number EO-2019036-000827
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EAGLE LAKE CAMP INC
Organization’s Mailing Address 400 W MARK AVE
City LOCKRIDGE
State IA
ZIP 52635
Accounting period End 12
Primary contact name SUSAN J HOPPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN HOPPER
PRESIDENT
400 W MARK AVE
LOCKRIDGE IA 52635

Officer/Director/Trustee Two

DONNIE HOPPER
DIRECTOR
400 W MARK AVE
LOCKRIDGE IA 52635

Officer/Director/Trustee Three

SHEILA WESTPHAL
DIRECTOR
101 N CENTER ST
LOCKRIDGE IA 52635

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 SUSAN HOPPER
Signature Title PRESIDENT
Signature Date 1/21/19

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