FORM 1023-EZ for PEARL RIVER LOUISIANA LIONS FOUNDATION

Field Data
EIN 47-4691266
Case Number EO-2015223-000073
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEARL RIVER LOUISIANA LIONS FOUNDATION
Organization’s Mailing Address PO BOX 71
City PEARL RIVER
State LA
ZIP 70452-0071
Accounting period End 6
Primary contact name STEVE CONRAVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY FUNEL
PRESIDENT
35369 PINE STREET EXTENSION
PEARL RIVER LA 70452

Officer/Director/Trustee Two

STEVE CONRAVEY
TREASURER
37360 MURRAY ROAD
PEARL RIVER LA 70452

Officer/Director/Trustee Three

JOHN GINDRO
2ND VICE PRESIDENT
113 PINEWOOD CIRCLE
PEARL RIVER LA 70452

Officer/Director/Trustee Four

JOEY WRENN
DIRECTOR
65430 MAXI LANE
PEARL RIVER LA 70452

Officer/Director/Trustee Five

JOHN EVANS
DIRECTOR
30569 HORSESHOE ISLAND ROAD
PEARL RIVER LA 70452

Organization’s website N/A
Organization’s email CONRAVEYS@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2015
Organization Incorporation State LA
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: Yes
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 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
Signature Title
Signature Date

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