FORM 1023-EZ for TROUT LAKE CARE INC

Field Data
EIN 46-1935060
Case Number EO-2016146-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TROUT LAKE CARE INC
Organization’s Mailing Address PO BOX 81
City TROUT LAKE
State WA
ZIP 98650-0081
Accounting period End 12
Primary contact name TIMOTHY WEBSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAYMOND THYGESEN
PRESIDENT/TREASURER
630 SUNNYSIDE RD
TROUT LAKE WA 98650

Officer/Director/Trustee Two

TIMOTHY WEBSTER
VICE PRESIDENT/TREASURER
5 LOIS LANE
TROUT LAKE WA 98650-0450

Officer/Director/Trustee Three

DOUGLAS ANDERSON
DIRECTOR
28 MT ADAMS RD
TROUT LAKE WA 98650

Officer/Director/Trustee Four

CAROLYN WILHELM
DIRECTOR
19 MOUNTAINVIEW DRIVE
TROUT LAKE WA 98650

Officer/Director/Trustee Five

EDWARD POWELL
DIRECTOR
27 LAVA RD
TROUT LAKE WA 98650

Organization’s website TROUTLAKECARE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
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 Yes
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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