FORM 1023-EZ for TWIN LAKES FELLOWSHIP CENTER INC

Field Data
EIN 36-4756466
Case Number EO-2019330-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TWIN LAKES FELLOWSHIP CENTER INC
Organization’s Mailing Address P O BOX 1166
City MOUNTAIN HOME
State AR
ZIP 72653
Accounting period End 12
Primary contact name CHARLOTTE RAZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORNA THORNE
PRESIDENT
P O BOX 782
FLIPPIN AR 72634

Officer/Director/Trustee Two

TOM SHORT
VICE PRESIDENT
1733 FAIRWAY
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Three

DEBORAH EPPERSON
SECRETARY
765 HWY 201 N APT 44
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Four

ERNA SANTELR
TREASURER
217 WEYMEYER LOOP
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Five

TOM BURKHARDT
BOARD MEMBER
1203 PINETREE LANE
MOUNTAIN HOME AR 72653

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/77
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: No
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 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 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 LORNA THORNE
Signature Title PRESIDENT
Signature Date 11/22/19

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