FORM 1023-EZ for MOSCOW MILLS LIONS CLUB FOUNDATION

Field Data
EIN 83-1823651
Case Number EO-2021246-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSCOW MILLS LIONS CLUB FOUNDATION
Organization’s Mailing Address 707 S ETHLYN RD
City MOSCOW MILLS
State MO
ZIP 63362
Accounting period End 12
Primary contact name JOE BELCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN HARRELL
PRESIDENT
4785 BREVATOR RD
MOSCOW MILLS MO 63362

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/2018
Organization Incorporation State MO
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALAN HARRELL
Signature Title PRESIDENT
Signature Date 9/1/2021
EIN 83-1823651
Case Number EO-2018257-000543
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOSCOW MILLS LIONS CLUB FOUNDATION
Organization’s Mailing Address 707 S ETHLYN RD
City MOSCOW MILLS
State MO
ZIP 63362
Accounting period End 12
Primary contact name JOE BELCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERMAN SUSLAND
PRESIDENT
353 SOUTH RIDGE ROAD
TROY MO 63379

Officer/Director/Trustee Two

SANDY GLASS
SECRETARY
650 ROLLING MEADOWS
MOSCOW MILLS MO 63362

Officer/Director/Trustee Three

LOTHAR VONWOLZSECK
VICE PRESIDENT
689 S CHANTILLY ROAD
MOSCOW MILLS MO 63362

Officer/Director/Trustee Four

DAVID MEYER
VICE PRESIDENT
140 REO DRIVE
MOSCOW MILLS MO 63362

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/18
Organization Incorporation State MO
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 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 HERMAN SUSLAND
Signature Title PRESIDENT
Signature Date 9/12/18

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