FORM 1023-EZ for BETHEL WINTER SHELTER LIONS CLUB

Field Data
EIN 46-4382634
Case Number EO-2017039-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETHEL WINTER SHELTER LIONS CLUB
Organization’s Mailing Address PO BOX 1525
City BETHEL
State AK
ZIP 99559-1525
Accounting period End 12
Primary contact name JON COCHRANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON COCHRANE
PRESIDENT
138 CRANBERRY ST
BETHEL AK 99559-1525

Officer/Director/Trustee Two

BEN CHARLES
VICE PRESIDENT
PO BOX 56
BETHEL AK 99559-0056

Officer/Director/Trustee Three

ANNY COCHRANE
SECRETARY TREASURER
138 CRANBERRY ST
BETHEL AK 99559-1525

Officer/Director/Trustee Four

EVA MALVICH
DIRECTOR
PO BOX 871
BETHEL AK 99559-0871

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2013
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-4382634
Case Number EO-2014308-000106
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETHEL WINTER SHELTER LIONS CLUB
Organization’s Mailing Address PO BOX 1525
City BETHEL
State AK
ZIP 99559-1525
Accounting period End 12
Primary contact name JON COCHRANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EVA MALVICH
DIRECTOR
PO BOX 871
BETHEL AK 99559

Officer/Director/Trustee Two

JON COCHRANE
DIRECTOR
138 CRANBERRY
BETHEL AK 99559

Officer/Director/Trustee Three

DOTTIE VASQUEZ
DIRECTOR
PO BOX 3216
BETHEL AK 99559

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2013
Organization Incorporation State AK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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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