FORM 1023-EZ for BEREA LIONS CLUB FOUNDATION INCORPORATED

Field Data
EIN 36-4828822
Case Number EO-2016106-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEREA LIONS CLUB FOUNDATION INCORPORATED
Organization’s Mailing Address P O BOX 15013
City GREENVILLE
State SC
ZIP 29610
Accounting period End 6
Primary contact name GUY W CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH D EPPS
PRESIDENT-DIRECTOR
420 EAST OLD MILL ROAD
TRAVELERS REST SC 29690-9103

Officer/Director/Trustee Two

JAMES A CONNOR
SECRETARY-DIRECTOR
1621 EAST SALUDA LAKE ROAD
GREENVILLE SC 29611-2453

Officer/Director/Trustee Three

ELIZABETH ANN COLEMAN
TREASURER/DIRECTOR
105 EMILE STREET
GREENVILLE SC 29617-3928

Organization’s website WWW.BEREALIONSCLUB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2016
Organization Incorporation State SC
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: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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