FORM 1023-EZ for LIONS YOUTH EXCHANGE FOUNDATION OF MULTIPLE DISTRICT 19

Field Data
EIN 82-1965916
Case Number EO-2017177-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS YOUTH EXCHANGE FOUNDATION OF MULTIPLE DISTRICT 19
Organization’s Mailing Address 14017 56TH AVE NW
City GIG HARBOR
State WA
ZIP 98332-9184
Accounting period End 12
Primary contact name GEORGE ROBISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE ROBISON
PRESIDENT
14017 56TH AVE NW
GIG HARBOR WA 98332-9184

Officer/Director/Trustee Two

ROB SCHUMER
TREASURER
1415 84TH ST SE UNIT 145
EVERETT WA 98208-2101

Organization’s website WWW.LIONSYOUTHEXCHANGE.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2013
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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