FORM 1023-EZ for IDAHO SOUTHEAST DIABETES LIONS CLUBINC

Field Data
EIN 81-4870266
Case Number EO-2017137-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IDAHO SOUTHEAST DIABETES LIONS CLUBINC
Organization’s Mailing Address 25 E MORAN VIEW RD
City IDAHO FALLS
State ID
ZIP 83440
Accounting period End 6
Primary contact name GERALD MASTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID B KLINGLER
PRESIDENT
25 E MORAN VIEW RD
REXBURG ID 83440

Officer/Director/Trustee Two

GERALD P MASTEL
VICE PRESIDENT
764 CEDAR RIDGE DR
IDAHO FALLS ID 83404

Officer/Director/Trustee Three

TONIA ALLRED
SECRETARY/TREASUIRER
303 E 8TH NORTH
PRESTON ID 83263

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 Yes
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
Signature Title
Signature Date

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