FORM 1023-EZ for CAPE GIRARDEAU NOON LIONS CLUB FOUNDATION

Field Data
EIN 81-4804302
Case Number EO-2017125-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPE GIRARDEAU NOON LIONS CLUB FOUNDATION
Organization’s Mailing Address 1020 NORTH KINGSHIGHWAY SUITE D
City CAPE GIRARDEAU
State MO
ZIP 63701
Accounting period End 12
Primary contact name ROBERT GUARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT GUARD
MEMBER
2009 WEST CAPE ROCK DRIVE
CAPE GIRARDEAU MO 63701

Officer/Director/Trustee Two

JAY KNUDTSON
MEMBER
1020 NORTH KINGSHIGHWAY SUITE D
CAPE GIRARDEAU MO 63701

Officer/Director/Trustee Three

MEL VAN DEVEN
MEMBER
1020 NORTH KINGSHIGHWAY SUITE D
CAPE GIRARDEAU MO 63701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 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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