FORM 1023-EZ for PORT CHARLOTTE CENTENNIAL LIONS FOUNDATION INC

Field Data
EIN 83-3652001
Case Number EO-2019092-000494
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORT CHARLOTTE CENTENNIAL LIONS FOUNDATION INC
Organization’s Mailing Address 4163 WATOVA AVE
City NORTH PORT
State FL
ZIP 34286
Accounting period End 6
Primary contact name VERGNE C GREGRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK BOWSHER
PRESIDENT
24167 HARBERVIEW BLVD
PUNTA GORDA FL 33980

Officer/Director/Trustee Two

PENNY GREGRICH
SECRETARY
4163 WATOVA AVE
NORTH PORT FL 34286

Officer/Director/Trustee Three

VERGNE C GREGRICH
TREASURER
4163 WATOVA AVE
NORTH PORT FL 34286

Officer/Director/Trustee Four

MICHAEL MURRAY
VICE-PRESIDENT
3315 HARBOR BLVD
PORT CHARLOTTE FL 33980

Officer/Director/Trustee Five

JODY INNISS
DIRECTOR
2120 KINGS HWY
PORT CHARLOTTE FL 33980

Organization’s website NA
Organization’s email GREGRICHV@YAHOO.COM / PGREGRICH@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/92
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VERGNE C GREGRICH
Signature Title TREASURER
Signature Date 3/31/19

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