FORM 1023-EZ for LEXINGTON PARK LIONS CLUB FOUNDATION INC

Field Data
EIN 81-3765437
Case Number EO-2016302-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEXINGTON PARK LIONS CLUB FOUNDATION INC
Organization’s Mailing Address 23293 BY THE MILL ROAD
City CALIFORNIA
State MD
ZIP 20619
Accounting period End 6
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA DAVIS
PRESIDENT
23293 BY THE MILL ROAD
CALIFORNIA MD 20619

Officer/Director/Trustee Two

JESS DAVIS
TREASURER
23293 BY THE MILL ROAD
CALIFORNIA MD 20619

Officer/Director/Trustee Three

ROBERT HAYWARD
SECRETARY
22240 MONTEREY PLACE
LEONARDTOWN MD 20650

Officer/Director/Trustee Four

JOHNNY ALVEY
DIRECTOR
39384 LEDFORD DRIVE
CLEMENTS MD 20624

Officer/Director/Trustee Five

RANDY LAWSON
DIRECTOR
43389 DRUM CLIFF ROAD
HOLLYWOOD MD 20636

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2011
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 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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