FORM 1023-EZ for LYON COUNTY SHERIFFS ADVISORY COUNCIL

Field Data
EIN 81-1553659
Case Number EO-2016067-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LYON COUNTY SHERIFFS ADVISORY COUNCIL
Organization’s Mailing Address 107 N MAIN ST
City YERINGTON
State NV
ZIP 89447
Accounting period End 12
Primary contact name SHARON SERENKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM SHATTUCK
PRESIDENT
45 EAST ST
FERNLEY NV 89408

Officer/Director/Trustee Two

THOMAS VANDALINDA
VICE PRESIDENT
2215 E 9TH ST
SILVER SPRINGS NV 89429

Officer/Director/Trustee Three

MONTE STARK
2ND VICE PRESIDENT
3255 E 3RD ST
SILVER SPRINGS NV 89429

Officer/Director/Trustee Four

JERRY CULWELL
TREASURER
219 DAVID ST
STAGECOACH NV 89429

Officer/Director/Trustee Five

SHARON SERENKO
SECRETARY
118 PRIMROSE DR
FERNLEY NV 89408

Organization’s website WWW.LSACFUNDS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief 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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