FORM 1023-EZ for WARREN COUNTY LIONS CLUB CHARITIESFOUNDATION

Field Data
EIN 47-2353814
Case Number EO-2015015-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WARREN COUNTY LIONS CLUB CHARITIESFOUNDATION
Organization’s Mailing Address 122 MOUNT VIEW AVENUE
City MCMINNVILLE
State TN
ZIP 37110-1739
Accounting period End 6
Primary contact name BOBBY L DAVENPORT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOBBY DAVENPORT
CHAIR OF BOARD
122 MOUNT VIEW AVENUE
MCMINNVILLE TN 37110

Officer/Director/Trustee Two

BILLY LAFEVER
VICE CHAIR
PO BOX 157
CAMPAIGN TN 38550

Officer/Director/Trustee Three

BILLY CUNNINGHAM
TREASURER
5045 SHELBYVILLE RD
MCMINNVILLE TN 37110

Officer/Director/Trustee Four

SUSAN DAVENPORT
SECRETARY
122 MOUNT VIEW AVENUE
MCMINNVILLE TN 37110-1739

Officer/Director/Trustee Five

MARTHA NUNLEY
BOARD MEMBER
109 ASH STREET
MCMINNVILLE TN 37110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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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