FORM 1023-EZ for BIG BEND VERNON LIONS CLUB INC

Field Data
EIN 39-6076249
Case Number EO-2015084-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BIG BEND VERNON LIONS CLUB INC
Organization’s Mailing Address W231 S9205 RIVERSIDE STREET
City BIG BEND
State WI
ZIP 53103-9591
Accounting period End 12
Primary contact name RON GASSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON GASSER
PRESIDENT/DIRECTOR
W224 S6390 S GUTHRIE ROAD
WAUKESHA WI 53189

Officer/Director/Trustee Two

BOB WEBER
TREASURER/DIRECTOR
W128 S6402 BERGER LANE
MUSKEGO WI 53150

Officer/Director/Trustee Three

GERALD FORD
1ST VP/DIRECTOR
S16 W32178 HIGH MEADOW ROAD
DELAFIELD WI 53018-3510

Officer/Director/Trustee Four

GREG PETERSON
2ND VP/DIRECTOR
S82 W23210 ARTESIAN AVENUE
BIG BEND WI 53103

Officer/Director/Trustee Five

KATHY CAVERS
SECRETARY/DIRECTOR
W257 S5314 WOOD LILLY LANE
WAUKESHA WI 53189

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/1986
Organization Incorporation State WI
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 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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