FORM 1023-EZ for CHANHASSEN LIONS CLUB FOUNDATION INC

Field Data
EIN 85-1707043
Case Number EO-2020190-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANHASSEN LIONS CLUB FOUNDATION INC
Organization’s Mailing Address 9036 SUNNYVALE DRIVE
City CHANHASSEN
State MN
ZIP 55317-8639
Accounting period End 6
Primary contact name GARY HABERMAN - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY HABERMAN
PRESIDENT
9036 SUNNYVALE DRIVE
CHANHASSEN MN 55317-8639

Officer/Director/Trustee Two

VICKI FRANZEN
SECRETARY
6260 HUMMINGBIRD DRIVE
EXCELSIOR MN 55331-8883

Officer/Director/Trustee Three

NIC PRONGA
TREASURER
9124 SUNNYVALE DRIVE
CHANHASSEN MN 55317-8532

Officer/Director/Trustee Four

RICHARD CHADWICK
DIRECTOR
420 LYMAN BOULEVARD
CHANHASSEN MN 55317-8655

Officer/Director/Trustee Five

GREG FLETCHER
DIRECTOR
7116 SOUTH SHORE DRIVE
CHANHASSEN MN 55317

Organization’s website E-CLUBHOUSE.ORG/SITES/CHANHASSEN
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 No
Correctness Declaration Yes
Signature Name GARY HABERMAN
Signature Title PRESIDENT
Signature Date 7/6/2020

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