FORM 1023-EZ for JARRETTSVILLE LIONS CHARITABLE FOUNDATION INC

Field Data
EIN 47-3734872
Case Number EO-2015190-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JARRETTSVILLE LIONS CHARITABLE FOUNDATION INC
Organization’s Mailing Address 4042 HUNT CREST ROAD
City JARRETTSVILLE
State MD
ZIP 21084
Accounting period End 12
Primary contact name DANIEL L MILLER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RONALD GARTRELL
PRESIDENT
1340 NORTH BEND ROAD
JARRETTSVILLE MD 21084

Officer/Director/Trustee Two

WILLIAM MOORE
VICE PRESIDENT
1735 JERRYS ROAD
STREET MD 21154

Officer/Director/Trustee Three

BILLIE TAYLOR
SECRETARY
2906 CALLISTON COURT
JARRETTSVILLE MD 21084

Officer/Director/Trustee Four

DANIEL MILLER
TREASURER
4042 HUNT CREST ROAD
JARRETTSVILLE MD 21084

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State MD
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: 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 Yes
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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