FORM 1023-EZ for LAKE AREA PET PANTRY
| Field | Data |
|---|---|
| EIN | 81-4125276 |
| Case Number | EO-2016295-000223 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKE AREA PET PANTRY |
| Organization’s Mailing Address | 17453 MEADOW LAKE RAOD |
| City | WATERTOWN |
| State | SD |
| ZIP | 57201 |
| Accounting period End | 12 |
| Primary contact name | ANNRAE HERR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANNRAE HERR
PRESIDENT
17453 MEADOW LAKE ROAD
WATERTOWN SD 57201
Officer/Director/Trustee Two
DEBORAH THORMAHLEN
TREASURER
1718 NORTHRIDGE DR
WATERTOWN SD 57201
Officer/Director/Trustee Three
MEI-YAO LOUIS
VICE PRESIDENT
135 6TH ST NE
WATERTOWN SD 57201
Officer/Director/Trustee Four
CHRISTINA KENYON
SECRETARY
PO BOX 152
CASTLEWOOD SD 57233
Officer/Director/Trustee Five
MATTHEW ROBY
DIRECTOR
601 3RD ST NW
WATERTOWN SD 57201
| Organization’s website | WWW.LAKEAREAPETPANTRY.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/11/2016 |
| Organization Incorporation State | SD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D19 - Nonmonetary Support N.E.C. |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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