FORM 1023-EZ for TAPROOT A LOPEZ KITCHEN

Field Data
EIN 81-1346888
Case Number EO-2016140-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAPROOT A LOPEZ KITCHEN
Organization’s Mailing Address PO BOX 623
City LOPEZ
State WA
ZIP 98261
Accounting period End 12
Primary contact name LISA PFANDLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDALL WAUGH
OFFICER
PO BOX 691
LOPEZ WA 98261

Officer/Director/Trustee Two

JOSHUA RATZA
CO- CHAIR
PO BOX 623
LOPEZ WA 98261

Officer/Director/Trustee Three

LISA PFANDLER
SECRETARY
1024 NW 46TH ST
VANCOUVER WA 98261

Officer/Director/Trustee Four

JENIFER RATZA
TREASURER
PO BOX 623
LOPEZ WA 98261

Officer/Director/Trustee Five

JEAN PERRY
CO-CHAIR
329 FARM RD
LOPEZ WA 98261

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K11 - Single Organization Support
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 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
Signature Title
Signature Date

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