FORM 1023-EZ for CHICKAMAUGA LIONS CLUB CORPORATION

Field Data
EIN 47-3153926
Case Number EO-2015169-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHICKAMAUGA LIONS CLUB CORPORATION
Organization’s Mailing Address PO BOX 322
City CHICKAMAUGA
State GA
ZIP 30707-0322
Accounting period End 12
Primary contact name HARRY KYTHAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEE MILLER
PRESIDENT
16 EUCLID M1
CHICKAMAUGA GA 30707

Officer/Director/Trustee Two

EDDIE UPSHAW
1ST VICE PRESIDENT
672 GRAND CENTER RD
CHICKAMAUGA GA 30707

Officer/Director/Trustee Three

JIM TOUCHTON
2ND VICE PRESIDENT
5767 THREE NOTCH RD
RINGGOLD GA 30736-1854

Officer/Director/Trustee Four

DONNA CALHOUN
SECRETARY
200 AUTUMN CT 4
DALTON GA 30721

Officer/Director/Trustee Five

HARRY KYTHAS
TREASURER
106 OLD HOMESTEAD DR
CHICKAMAUGA GA 30707

Organization’s website WWW.CHICKAMAUGALIONS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2015
Organization Incorporation State GA
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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