FORM 1023-EZ for HOUSE OF LITHUANIA OF HPR

Field Data
EIN 33-0080376
Case Number EO-2015261-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF LITHUANIA OF HPR
Organization’s Mailing Address 2125 PARK BLVD
City SAN DIEGO
State CA
ZIP 92101-4753
Accounting period End 12
Primary contact name ELIZABETH SHIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HENRY GORODECKAS
PRESIDENT
12327 MEANDRO RD
SAN DIEGO CA 92128-2830

Officer/Director/Trustee Two

ELIZABETH SHIELDS
TREASURER
12222 SANTIAGO RD W
SAN DIEGO CA 92128-2802

Officer/Director/Trustee Three

GIEDRE MILAS
RECORDING SECRETARY
3339 FOSCA ST
CARLSBAD CA 92009-7837

Officer/Director/Trustee Four

JAMES BALNIS
MEMBERSHIP SECRETARY
1352 MELROSE AVE
CHULA VISTA CA 91911-4514

Officer/Director/Trustee Five

JOSEPH GURSKAS
SERGEANT-AT-ARMS
2807 29TH ST
SAN DIEGO CA 92104-4910

Organization’s website HOUSEOFLITHUANIA.ORG
Organization’s email MEMBERSHIP@HOUSEOFLITHUANIA.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2013
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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
Signature Title
Signature Date

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