FORM 1023-EZ for LAKOTA OUTREACH HOUSING INITIATIVEINC

Field Data
EIN 47-1791012
Case Number EO-2015049-000029
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKOTA OUTREACH HOUSING INITIATIVEINC
Organization’s Mailing Address 6338 EAST MINERAL DRIVE
City CENTENNIAL
State CO
ZIP 80112-3012
Accounting period End 12
Primary contact name DAVID KIRKPATRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID KIRKPATRICK
CEO
6338 EAST MINERAL DRIVE
CENTENNIAL CO 80112-3012

Officer/Director/Trustee Two

WES UMEMURA
MARKETING VP
6564 SOUTH POTOMIC STREET
CENTENNIAL CO 80111

Officer/Director/Trustee Three

ELIZABETH LAND
OPERATIONS VP
7858 SOUTH POPULAR WAY
CENTENNIAL CO 80112-2533

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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