FORM 1023-EZ for THE CORNWALL LIONS FOUNDATION

Field Data
EIN 47-4945512
Case Number EO-2015251-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CORNWALL LIONS FOUNDATION
Organization’s Mailing Address C/O L A BEESECKER 246 MAIN ST
City CORNWALL
State NE
ZIP 12518
Accounting period End 12
Primary contact name LYNN BEESECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LYNN BEESECKER
DIRECTOR
118 WEEKS AVE
CORNWALL ON HUDSON NY 12520

Officer/Director/Trustee Two

RONALD TULLOCH
DIRECTOR
5 STILLMAN AVENUE
CORNWALL ON HUDSON NY 12520

Officer/Director/Trustee Three

TOM DESOCIO
DIRECTOR
25 FROST LANE
CORNWALL NY 12518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 Yes
One Third Support Gifts No
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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