FORM 1023-EZ for LIONS CLUB OF VALLEY STREAM INC

Field Data
EIN 11-3290817
Case Number EO-2014230-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS CLUB OF VALLEY STREAM INC
Organization’s Mailing Address P O BOX 381
City VALLEY STREAM
State NY
ZIP 11582
Accounting period End 12
Primary contact name TEJINDER S ANAND CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSE PASTRANA
PRESIDENT
1017 FENWOOD DRIVE
VALLEY STREAM NY 11580

Officer/Director/Trustee Two

JANET MAHABIR
1ST VICE PRESIDENT
167 GORDON ROAD
VALLEY STREAM NY 11580

Officer/Director/Trustee Three

JAMES ZABATTA
2ND VICE PRESIDENT
40 REGENTS STREET
VALLEY STREAM NY 11580

Officer/Director/Trustee Four

STANLEY ISAACS
3RD VICE PRESIDENT
86 BIRCH LANE
VALLEY STREAM NY 11581

Officer/Director/Trustee Five

WENDY FREDERICKS
SECRETARY
20 HUDSON AVENUE
VALLEY STREAM NY 11580

Organization’s website WWW.E-CLUBHOUSE.ORG/SITES/VALLEYSTREAM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/1952
Organization Incorporation State NY
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 No
Disaster relief assistance No
One Third Support Public Yes
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
Signature Title
Signature Date

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