FORM 1023-EZ for MARICOPA LIONS CLUB

Field Data
EIN 47-3132480
Case Number EO-2015124-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARICOPA LIONS CLUB
Organization’s Mailing Address 40291 W LOCOCO ST
City MARICOPA
State AZ
ZIP 85138
Accounting period End 6
Primary contact name DAVID BOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID BOCK
PRESIDENT/DIRECTOR
19893 N MONTE LN
MARICOPA AZ 85138

Officer/Director/Trustee Two

TERRI AUSTIN
SECRETARY/DIRECTOR
20183 OXBOW LN
MARICOPA AZ 85138

Officer/Director/Trustee Three

JOHN MACKELLAR
TREASURER/DIRCTOR
40291 W LOCOCO ST
MARICOPA AZ 85138

Officer/Director/Trustee Four

BERTA BOCK
MEMBERCHIP CHAIR/DIRECTOR
19893 N MONTE LN
MARICOPA AZ 85138

Officer/Director/Trustee Five

CURTIS DORNATH
DIRECTOR
42976 W MISTY MORNING LN
MARICOPA AZ 85138

Organization’s website
Organization’s email FLYRON@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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