FORM 1023-EZ for LIONS CLUB OF WHITE HALL INC

Field Data
EIN 37-6044884
Case Number EO-2015015-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS CLUB OF WHITE HALL INC
Organization’s Mailing Address 135 N JACKSONVILLE ST
City WHITE HALL
State IL
ZIP 62092
Accounting period End 12
Primary contact name MICHAEL PAINTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON GILMORE
PRESIDENT
575 FULTON ST
WHITE HALL IL 62092

Officer/Director/Trustee Two

DONNA WALTRIP
SERETARY
344 E SIMMONS
ROODHOUSE IL 62082

Officer/Director/Trustee Three

MICHAEL PAINTER
TREASURER
RR 1 BOX140
WHITE HALL IL 62092

Officer/Director/Trustee Four

WILLIAM DIRKSMEYER
VICE- PRESIDENT
334 CAPPS ST
WHITE HALL IL 62092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/1939
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y40 - Fraternal Beneficiary Societies
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 Yes
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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