FORM 1023-EZ for LA CENTER LIONS CLUB

Field Data
EIN 91-1258038
Case Number EO-2016069-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA CENTER LIONS CLUB
Organization’s Mailing Address PO BOX 432
City LA CENTER
State WA
ZIP 98629
Accounting period End 12
Primary contact name WENDY CHORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARC DENNEY
PRESIDENT
2167 E GAITHER AVE
LA CENTER WA 98629

Officer/Director/Trustee Two

DEBBIE MANSELL
FIRST VICE PRESIDENT
9611 NE 339TH ST
LA CENTER WA 98629

Officer/Director/Trustee Three

JASON RIVERS
SECOND VICE PRESIDENT
PO BOX 948
LA CENTER WA 98629

Officer/Director/Trustee Four

AMY NEIMAN
TREASURER
10403 NE ETNA RD
WOODLAND WA 98674

Officer/Director/Trustee Five

DANIELLE RIVERS
SECRETARY
PO BOX 948
LA CENTER WA 98629

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/1984
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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