FORM 1023-EZ for DAVIDSON LIONS FOUNDATION INC

Field Data
EIN 26-4582570
Case Number EO-2019206-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAVIDSON LIONS FOUNDATION INC
Organization’s Mailing Address PO BOX 73
City DAVIDSON
State NC
ZIP 28036
Accounting period End 6
Primary contact name HARRIETT ROSEBROUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN DAVIS
PRESIDENT
21614 CROWN LAKE DR
CORNELIUS NC 28031

Officer/Director/Trustee Two

ROBERT ELLIOTT
CO-TREASURER
20326 BETHELWOOD LN
CORNELIUS NC 28031

Officer/Director/Trustee Three

JAN STEEVER
VICE-PRESIDENT
234 S FAULKNER WAY
DAVIDSON NC 28036

Officer/Director/Trustee Four

ANDY STEEVER
SECRETARY
234 S FAULKNER WAY
DAVIDSON NC 28036

Officer/Director/Trustee Five

HARRIETT ROSEBROUGH
CO-TREASURER
736 AMALFI DR
DAVIDSON NC 28036

Organization’s website DAVIDSONLIONSCLUB.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/09
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HARRIETT ROSEBROUGH
Signature Title CO-TREASURER
Signature Date 7/23/19

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