FORM 1023-EZ for SOUTHSIDE LIONS CLUB FOUNDATION

Field Data
EIN 86-3056073
Case Number EO-2021104-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHSIDE LIONS CLUB FOUNDATION
Organization’s Mailing Address 503 VERDAE DR
City SPARTANBURG
State SC
ZIP 29301
Accounting period End 6
Primary contact name EARLENE CORROTHERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CHEEK
DIRECTOR AND PRESIDENT
503 VERDAE DR
SPARTANBURG SC 29301

Officer/Director/Trustee Two

EARLENE CORROTHERS
DIRECTOR AND VP
503 VERDAE DR
SPARTANBURG SC 29301

Officer/Director/Trustee Three

KATHY SMITH
DIRECTOR AND SECRETARY
503 VERDAE DR
SPARTANBURG SC 29301

Officer/Director/Trustee Four

LORETA DYLGIERI
DIRECTOR
503 VERDAE DR
SPARTANBURG SC 29301

Officer/Director/Trustee Five

CYNTHIA LOUNDS
DIRECTOR
503 VERDAE DR
SPARTANBURG SC 29301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2021
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 EARLENE CORROTHERS
Signature Title DIRECTOR AND VP
Signature Date 4/8/2021

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