FORM 1023-EZ for LIONS SIGHT AND SERVICES OF RAPID CITY INC

Field Data
EIN 85-0972977
Case Number EO-2021238-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIONS SIGHT AND SERVICES OF RAPID CITY INC
Organization’s Mailing Address 2725 RAYMOND DR
City RAPID CITY
State SD
ZIP 57702
Accounting period End 12
Primary contact name RICHARD WAITS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN ALBERS
PRESIDENT
829 FARLOW AVE
RAPID CITY SD 57701

Officer/Director/Trustee Two

CARLA JOBGEN
VICE PRESIDENT
5220 SATURN DR
RAPID CITY SD 57703

Officer/Director/Trustee Three

FRANCES WAITS
SECRETARY
2725 RAYMOND DR
RAPID CITY SD 57702

Officer/Director/Trustee Four

JOYCE GIBSON
TREASURER
22389 ELK VALE RD
RAPID CITY SD 57701

Officer/Director/Trustee Five

RICHARD WAITS
DIRECTOR
2725 RAYMOND DR
RAPID CITY SD 57702

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2020
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 RICHARD WAITS
Signature Title DIRECTOR
Signature Date 8/24/2021

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