FORM 1023-EZ for LIONS CLUB OF WINLOCK

Field Data
EIN 91-6058485
Case Number EO-2014265-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS CLUB OF WINLOCK
Organization’s Mailing Address PO BOX 274
City WINLOCK
State WA
ZIP 98596
Accounting period End 12
Primary contact name CYNTHIA MALARZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEANIE EMMENEGGER
PRESIDENT
126 REINSETH RD
WINLOCK WA 98596-9326

Officer/Director/Trustee Two

VIOLA CHICKESE
TREASURER
636 NEVIL RD
WINLOCK WA 98596-9687

Officer/Director/Trustee Three

GLEN COOK
CHAIRPERSON
606 NE 1ST
WINLOCK WA 98596-0158

Officer/Director/Trustee Four

SHANNON CRISS
SECRETARY
1009 HILLTOP RD
WINLOCK WA 98596-0122

Officer/Director/Trustee Five

CYNTHIA MALARZ
DIRECTOR
962 B BYHAM RD
WINLOCK WA 98596

Organization’s website WINLOCKLIONS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2010
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
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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