FORM 1023-EZ for SPOKANE SHADLE NORTH LIONS FOUNDATION

Field Data
EIN 82-2545907
Case Number EO-2017250-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPOKANE SHADLE NORTH LIONS FOUNDATION
Organization’s Mailing Address 816 W FRANCIS AVENUE NO 621
City SPOKANE
State WA
ZIP 99218
Accounting period End 6
Primary contact name MATT JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN CUMMENS
PRESIDENT
1121 W BELLWOOD DR
SPOKANE WA 99218

Officer/Director/Trustee Two

TAMMY CALLAHAN
TREASURER
7717 N ABERCROMBIE CT
COUER D ALENE WA 83815

Officer/Director/Trustee Three

JESSE FEJERAN
DIRECTOR
419 E HAWTHORNE RD APT 18
SPOKANE WA 99218

Officer/Director/Trustee Four

VIVIAN HUSCHKE
DIRECTOR
2821 S THOR ST
SPOKANE WA 99223

Officer/Director/Trustee Five

BOB YEOMAN
SECRETARY
5010 W ALPINE DR
SPOKANE WA 99208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2017
Organization Incorporation State WA
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 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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