FORM 1023-EZ for BERVILLE LIONS CHARITIES INC

Field Data
EIN 38-3734328
Case Number EO-2014300-000315
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BERVILLE LIONS CHARITIES INC
Organization’s Mailing Address 13651 HOUGH ROAD
City ALLENTON
State MI
ZIP 48002
Accounting period End 6
Primary contact name PAUL HEMERYCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSH DOMINEK
PRESIDENT
620 MILLER ROAD
RILEY MI 48041

Officer/Director/Trustee Two

DALE HULETT
VICE PRESIDENT
1325 CALVIN ROAD
RILEY MI 48041

Officer/Director/Trustee Three

GARY GRAHAM
SECRETARY
25 GRAMPIAN
OXFORD MI 48371

Officer/Director/Trustee Four

JAMES WOLFE
TREASURER
417 NORTH AVENUE
BERVILLE MI 48002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2006
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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