FORM 1023-EZ for LAKOTA NATION DISASTER RESILIENCY
| Field | Data |
|---|---|
| EIN | 83-4293621 |
| Case Number | EO-2019217-000278 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKOTA NATION DISASTER RESILIENCY |
| Organization’s Mailing Address | BIA WOLF CREEK RD PO BOX 1627 |
| City | PINE RIDGE |
| State | SD |
| ZIP | 57770 |
| Accounting period End | 12 |
| Primary contact name | MARETTA CHAMPAGNE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARETTA CHAMPAGNE
DIRECTOR
BIA 29 WOLF CREEK RD PO BOX 1627
PINE RIDGE SD 57770
Officer/Director/Trustee Two
WAYNE WESTON
DIRECTOR
815 E NEW YORK ST LOT 71
RAPID CITY SD 57701
Officer/Director/Trustee Three
PETER FILLS THE PIPE
DIRECTOR
1020 W BIA RD 32
PINE RIDGE SD 57770
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/14/19 |
| Organization Incorporation State | SD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M20 - Disaster Preparedness and Relief Services |
| 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 | Yes |
| 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 | MARETTA CHAMPAGNE |
| Signature Title | DIRECTOR |
| Signature Date | 8/1/19 |
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