FORM 1023-EZ for LIONS DISTRICT 22W FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-4182916 |
| Case Number | EO-2019098-000484 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIONS DISTRICT 22W FOUNDATION |
| Organization’s Mailing Address | 6 CLARK AVENUE |
| City | THURMONT |
| State | MD |
| ZIP | 21788 |
| Accounting period End | 6 |
| Primary contact name | SUSAN FAVORITE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRIAN COX
DIRECTOR
960 FRANCIS SCOTT KEY HIGHWAY
KEYMAR MD 21757
Officer/Director/Trustee Two
PAUL CANNADA
DIRECTOR
7 SYLVIA CIRCLE
THURMONT MD 21788
Officer/Director/Trustee Three
EVAN GILLETT
DIRECTOR
2326 SYKESVILLE ROAD
WESTMINSTER MD 21157
Officer/Director/Trustee Four
SUSAN FAVORITE
RESIDENT AGENT
6 CLARK AVENUE
THURMONT MD 21788
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/25/15 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other 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 | 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 | SUSAN FAVORITE |
| Signature Title | RESIDENT AGENT |
| Signature Date | 4/6/19 |
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