FORM 1023-EZ for LARCHMONT LIONS FOUNDATION INC

Field Data
EIN 46-4259540
Case Number EO-2015259-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LARCHMONT LIONS FOUNDATION INC
Organization’s Mailing Address 16 N CHATSWORTH AVENUE
City LARCHMONT
State NY
ZIP 10583
Accounting period End 6
Primary contact name JAGADISH RAO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHIL OLDHAM
PRESIDENT
81 PINE BROOK DRIVE
LARCHMONT NY 10583

Officer/Director/Trustee Two

SHEELAH MOHAN
VICE PRESIDENT
21 N CHATSWORTH AVENUE
LARCHMONT NY 10538

Officer/Director/Trustee Three

ALAN HOFFMAN
SECRETARY
15 LONDON TERRACE
NEW ROCHELLE NY 10804

Officer/Director/Trustee Four

JOHN KEENAN
TREASURER
6 ELKAN
LARCHMONT NY 10538

Organization’s website WWW.LARCHMONTLIONSCLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2013
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
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 No
One Third Support Gifts Yes
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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