FORM 1023-EZ for LAKE CITY HOPE AND HELP CENTER

Field Data
EIN 82-2801820
Case Number EO-2017317-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE CITY HOPE AND HELP CENTER
Organization’s Mailing Address PO BOX 97275
City LAKEWOOD
State WA
ZIP 98497
Accounting period End 6
Primary contact name DANIEL K TCHOBANOFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK WELLS
PRESIDENT
10832 EVERGREEN TERRACE SW
LAKEWOOD WA 98498

Officer/Director/Trustee Two

WANDA HAYES
VICE PRESIDENT
12603 LAKEHOLME ROAD SW
LAKEWOOD WA 98498

Officer/Director/Trustee Three

JOHN SCHOCK
SECRETARY
2602 MADRONA POINT LANE
STEILACOOM WA 98388

Officer/Director/Trustee Four

DANIEL K TCHOBANOFF
TREASURER
1611 WASHINGTON STREET
STEILACOOM WA 98388

Officer/Director/Trustee Five

DICK MURI
DIRECTOR
116 LILA STREET
STEILACOOM WA 98388

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
One Third Support Gifts No
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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