FORM 1023-EZ for SEYMOUR CT LIONS INC

Field Data
EIN 82-1932106
Case Number EO-2017174-000227
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEYMOUR CT LIONS INC
Organization’s Mailing Address 26 GEORGE STREET
City SEYMOUR
State CT
ZIP 06483
Accounting period End 6
Primary contact name MELISSA A SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA A SMITH
PRESIDENT
26 GEORGE STREET
SEYMOUR CT 06483

Officer/Director/Trustee Two

RICHARD BARROWS
VP
7 DEMPSEY ROAD
ANSONIA CT 06401

Officer/Director/Trustee Three

CHRISTINA RUBANO
TREASURER
17A PHEASANT DRIVE
SEYMOUR CT 06483

Officer/Director/Trustee Four

COLLEEN M LIEDER
SECRETARY
115 COLONY ROAD
SEYMOUR CT 06483

Officer/Director/Trustee Five

FRANK DELEO
DIRECTOR
19 NEWTOWN ROAD
WOODBRIDGE CT 06525

Organization’s website WWW.E-CLUBHOUSE.ORG/SITES/SEYMOURCT/
Organization’s email SEYMOURLIONS52@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Conducting Activities Outside of United States Yes
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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