FORM 1023-EZ for WAXHAW LIONS CLUB CHARITIES INC

Field Data
EIN 82-4811140
Case Number EO-2018080-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAXHAW LIONS CLUB CHARITIES INC
Organization’s Mailing Address 2804 BEVIS LN
City WAXHAW
State NC
ZIP 28173
Accounting period End 9
Primary contact name TED TOZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE OBRIEN
PRESIDENT
1003 CROYDEN CT
FORT MILL SC 29715

Officer/Director/Trustee Two

FRANK HAWFIELD
SECRETARY
5100 SHARON RD 453 WEST SIDE
CHARLOTTE NC 28210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Correctness Declaration Yes
Signature Name MIKE OBRIEN
Signature Title PRESIDENT
Signature Date 3/19/18

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