FORM 1023-EZ for LIONS CLUB OF PEAKS ISLAND FOUNDATION

Field Data
EIN 86-2194738
Case Number EO-2021091-001149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIONS CLUB OF PEAKS ISLAND FOUNDATION
Organization’s Mailing Address 2 GARDEN PLACE PO BOX 102
City PEAKS ISLAND
State ME
ZIP 04108
Accounting period End 12
Primary contact name EDWARD EZZARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD EZZARD
PRESIDENT
79 DEER RUN
TOPSHAM ME 04086

Officer/Director/Trustee Two

GEORGE CANTALUPO
VICE PRESIDENT
116 ISLAND AVE
PEAKS ISLAND ME 04108

Officer/Director/Trustee Three

DAVID TANOUS
TREASURER
20 SEASHORE AVE
PEAKS ISLAND ME 04108

Officer/Director/Trustee Four

PETER ANDERSON
SECRETARY
48 BRACKET AVE
PEAKS ISLAND ME 04108

Officer/Director/Trustee Five

PATRICK SELBY
CORRESPONDANCE SECRETARY
18 RYEFIELD STREET
PEAKS ISLAND ME 04108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State ME
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: 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 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 EDWARD EZZARD
Signature Title PRESIDENT
Signature Date 2/22/2021

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