FORM 1023-EZ for LUCASVILLE CIVIC SERVICE CLUB

Field Data
EIN 83-1136949
Case Number EO-2019115-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUCASVILLE CIVIC SERVICE CLUB
Organization’s Mailing Address 111 LINDA AVENUE
City LUCASVILLE
State OH
ZIP 45648
Accounting period End 12
Primary contact name TIMOTHY WARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY WARD
TREASURER
PO BOX 1235
LUCASVILLE OH 45648

Officer/Director/Trustee Two

CARL MULLENS
PRESIDENT
111 LINDA AVENUE
LUCASVILLE OH 45648

Officer/Director/Trustee Three

ROBERT HALL
VICE-PRESIDENT
289 BACK STREET
LUCASVILLE OH 45648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 TIMOTHY WARD
Signature Title TREASURER
Signature Date 4/23/19

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