FORM 1023-EZ for LIONS CLUB OF PORT WASHINGTON INC

Field Data
EIN 11-3204801
Case Number EO-2014300-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS CLUB OF PORT WASHINGTON INC
Organization’s Mailing Address PO BOX 169
City PORT WASHINGTON
State NY
ZIP 11050
Accounting period End 6
Primary contact name TERESA BUTLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHANIE TEFF
PRESIDENT
PO BOX 169
PORT WASHINGTON NY 11050

Officer/Director/Trustee Two

DORIS MARKHAM
SECRETARY
PO BOX 169
PORT WASHINGTON NY 11050

Officer/Director/Trustee Three

SCOTT HARDING
TREASURER
PO BOX 169
PORT WASHINGTON NY 11050

Officer/Director/Trustee Four

JEFF STONE
BOARD MEMBER
PO BOX 169
PORT WASHINGTON NY 11050

Officer/Director/Trustee Five

JAMES CONTINO
BOARD MEMBER
PO BOX 169
PORT WASHINGTON NY 11050

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/1993
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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
Signature Title
Signature Date

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