FORM 1023-EZ for LAMAR LIONS CLUB FOUNDATION

Field Data
EIN 47-2674152
Case Number EO-2015007-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAMAR LIONS CLUB FOUNDATION
Organization’s Mailing Address 707 SOUTH 7TH STREET
City LAMAR
State CO
ZIP 81052
Accounting period End 12
Primary contact name KENNETH CALLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH CALLISON
PRESIDENT
7381 HWY 196
LAMAR CO 81052

Officer/Director/Trustee Two

JOHN SUTHERLAND JR
DIRECTOR
1501 S 9TH STREET
LAMAR CO 81052

Officer/Director/Trustee Three

EUGENE MILLBRAND
VICE PRESIDENT
407 WILLOW VALLEY
LAMAR CO 81052

Officer/Director/Trustee Four

BRENT FRAZEE
DIRECTOR
101 VICTORY LANE
WILEY CO 81092

Officer/Director/Trustee Five

KARL NIESCHBURG
DIRECTOR
400 S 4TH STREET
LAMAR CO 81052

Organization’s website
Organization’s email GLNIESCHBURG@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/2014
Organization Incorporation State CO
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 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 No
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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