FORM 1023-EZ for LAS VEGAS LIONS CONVENTION FOUNDATION

Field Data
EIN 81-4071365
Case Number EO-2016291-000446
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAS VEGAS LIONS CONVENTION FOUNDATION
Organization’s Mailing Address 7040 LAREDO STREET STEB
City LAS VEGAS
State NV
ZIP 89117-3000
Accounting period End 12
Primary contact name JOHN KLUMBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN EPPERSON
PRESIDENT
302 PRESTWICK COURT
DAYTON NV 89043-0001

Officer/Director/Trustee Two

CLIFF COOPER
SECRETARY
1357 PAR THREE DRIVE
SPARKS NV 89436-3750

Officer/Director/Trustee Three

BARRY TEMPLE
DIRECTOR
3778 FAIRLAWN AVE
LAS VEGAS NV 89121-3402

Officer/Director/Trustee Four

JOHN KLUMBACH
TREASURER
7040 LAREDO STREET STE B
LAS VEGAS NV 89117-3000

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2016
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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
Signature Title
Signature Date

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