FORM 1023-EZ for ROSEVILLE LIONS CLUB CHARITIES INC

Field Data
EIN 84-3709720
Case Number EO-2019324-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSEVILLE LIONS CLUB CHARITIES INC
Organization’s Mailing Address 24418 BERRY AVE
City WARREN
State MI
ZIP 48089
Accounting period End 6
Primary contact name PAUL HEMERYCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE FARMER
SECRETARY
24418 BERRY AVE
WARREN MI 48089

Officer/Director/Trustee Two

ALLISON BARTLETT
PRESIDENT
14691 SHIRLEY
WARREN MI 48089

Officer/Director/Trustee Three

ROBERT BORK
TREASURER
14048 ROSSINI
DETROIT MI 48205

Officer/Director/Trustee Four

BARBARA ERRICKSON
VICE PRESIDENT
24418 BERRY AVE
WARREN MI 48089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 CATHERINE FARMER
Signature Title SECRETARY
Signature Date 11/18/19

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