FORM 1023-EZ for WARREN TOWNSHIP LIONS CLUB

Field Data
EIN 83-4544942
Case Number EO-2020062-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WARREN TOWNSHIP LIONS CLUB
Organization’s Mailing Address 106 GRANDVIEW AVE
City TILTONSVILLE
State OH
ZIP 43963
Accounting period End 6
Primary contact name DAN HOLT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER WARREN
PRESIDENT
206 GRANDVIEW AVE
TILTONSVILLE OH 43963

Officer/Director/Trustee Two

TOM THOMAS
VICE PRESIDENT
320 JEFFERSON ST
TILTONSVILLE OH 43963

Officer/Director/Trustee Three

DANIEL HOLT
SECRETARY
108 GRANDVIEW AVE
TILTONSVILLE OH 43963

Officer/Director/Trustee Four

KELLEY MILLER
TREASURER
6899 SR 150
DILLONVALE OH 43917

Organization’s website
Organization’s email WARRENTOWNSHIPLIONS@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2011
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 DANIEL HOLT
Signature Title SECRETARY
Signature Date 2/27/2020

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