FORM 1023-EZ for LIONS CLUB GOLF ASSOCIATION

Field Data
EIN 61-1848541
Case Number EO-2017181-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS CLUB GOLF ASSOCIATION
Organization’s Mailing Address 4940 N WATT DR
City EL DORADO
State AR
ZIP 71730
Accounting period End 12
Primary contact name EARL COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARL COOK
PRESIDENT
4940 N WYATT DR
EL DORADO AR 71730

Officer/Director/Trustee Two

ED JOHNSON
VICE PRESIDENT
TATE ST
EL DORADO AR 71730

Officer/Director/Trustee Three

SHAROLYN GIVENS
SECRETARY/TREASURER
P O BOX 314
NORPHLET AR 71759

Officer/Director/Trustee Four

TERI MCCASKILL
SECRETARY/TREASURER
3700 OLETA AVE
EL DORADO AR 71730

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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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