FORM 1023-EZ for WESTFIELD LIONS 100 FOUNDATION INC

Field Data
EIN 85-3880096
Case Number EO-2021019-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTFIELD LIONS 100 FOUNDATION INC
Organization’s Mailing Address 69 LONGFELLOW DR
City LONGMEADOW
State MA
ZIP 01106
Accounting period End 12
Primary contact name MICHAEL MCCABE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE PIERCE
PRESIDENT, DIRECTOR
69 LONGFELLOW DR
LONGMEADOW MA 01106

Officer/Director/Trustee Two

MICHAEL MCCABE
TREASURER, DIRECTOR
8 HAWTHORNE AVE
WESTFIELD MA 01085

Officer/Director/Trustee Three

ROXANN BRADLEY
CLERK, DIRECTOR
10 WINTERGREEN LANE
WESTFIELD MA 01085

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H41 - Eye Research
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL MCCABE
Signature Title TREASURER, DIRECTOR
Signature Date 11/25/2020

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