FORM 1023-EZ for KLAWOCK LAKE COMMUNITY ASSOCIATION

Field Data
EIN 47-3493957
Case Number EO-2015086-000429
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KLAWOCK LAKE COMMUNITY ASSOCIATION
Organization’s Mailing Address LOT 20 BLOCK U
City KLAWOCK
State AK
ZIP 99925-0488
Accounting period End 12
Primary contact name STACEY MANK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JIM HOLIEN
PRESIDENT
LOT 23 BLOCK U
KLAWOCK AK 99925-0443

Officer/Director/Trustee Two

DOUG CARL
VICE PRESIDENT
LOT 6 BLOCK U
KLAWOCK AK 99925-0165

Officer/Director/Trustee Three

STACEY MANK
SECRETARY
LOT 20 BLOCK U
KLAWOCK AK 99925-0488

Officer/Director/Trustee Four

CHAUNDELL PIBURN
TREASURER
LOT 7 BLOCK U
KLAWOCK AK 99925-0445

Officer/Director/Trustee Five

ERIC PACKER
DIRECTOR
LOT 21 BLOCK U
KLAWOCK AK 99925-0268

Organization’s website N/A
Organization’s email BSMANK@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2015
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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