FORM 1023-EZ for LAKE HOUSE FARM & KITCHEN INSTITUTE

Field Data
EIN 82-5363432
Case Number EO-2020016-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE HOUSE FARM & KITCHEN INSTITUTE
Organization’s Mailing Address PO BOX 452
City HOCKLEY
State TX
ZIP 77447
Accounting period End 12
Primary contact name JEFF KASOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET BELL
PRESIDENT/DIRECTOR/FOUNDER
24569 PINE CREEK ROAD
HOCKLEY TX 77447

Officer/Director/Trustee Two

JEREMIE HUOT
TREASURER/DIRECTOR & FINANCE
65 CONTOUR ROAD
WARWICK RI 02886

Officer/Director/Trustee Three

BRYAN HUOT
DIRECTOR & FINANCE
1349 CAMEO CT
LIVERMORE CA 94550

Officer/Director/Trustee Four

BARBARA BELL
DIRECTOR/SECRETARY
76 COBB HILL ROAD
OTISFIELD ME 04270

Organization’s website
Organization’s email MABELL713@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2018
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 MARGARET BELL
Signature Title PRESIDENT/DIRECTOR/FOUNDER
Signature Date 1/14/2020

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