FORM 1023-EZ for TROUT LAKE LUNCH FUND

Field Data
EIN 81-1274002
Case Number EO-2016062-000142
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TROUT LAKE LUNCH FUND
Organization’s Mailing Address PO BOX 488
City TROUT LAKE
State WA
ZIP 98650
Accounting period End 12
Primary contact name KAREN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JO ANN POLAND
PRESIDENT
410 SUNNYSIDE RD
TROUT LAKE WA 98650

Officer/Director/Trustee Two

KAREN SMITH
SECRETARY-TREASURER
PO BOX 56
TROUT LAKE WA 98650

Officer/Director/Trustee Three

KIRA FOGARTY
VICE-PRESIDENT
PO BOX 392
TROUT LAKE WA 98650

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2015
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K12 - Fund Raising and/or Fund Distribution
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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