FORM 1023-EZ for WILLOW GLEN LIONS CHARITIES INC

Field Data
EIN 27-4607972
Case Number EO-2014268-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLOW GLEN LIONS CHARITIES INC
Organization’s Mailing Address 2846 CAMBRIDGE DRIVE
City SAN JOSE
State CA
ZIP 95125-4219
Accounting period End 6
Primary contact name DONNA JEWETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMI ASFOUR
PRESIDENT
1488 CHERRY GARDEN LANE
SAN JOSE CA 95125-4843

Officer/Director/Trustee Two

TIM KAWASAKI
FIRST VICE PRESIDENT
1898 MERIDIAN AVE 14
SAN JOSE CA 95125

Officer/Director/Trustee Three

GEORGE JEWETT
SECRETARY
2846 CAMBRIDGE DRIVE
SAN JOSE CA 95125-4219

Officer/Director/Trustee Four

DONNA JEWETT
TREASURER
2846 CAMBRIDGE DRIVE
SAN JOSE CA 95125-4219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2011
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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