FORM 1023-EZ for CROSWELL LIONS CLUB INCORPORATED

Field Data
EIN 47-1875568
Case Number EO-2018242-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSWELL LIONS CLUB INCORPORATED
Organization’s Mailing Address 17 WELLS ST
City CROSWELL
State MI
ZIP 48422
Accounting period End 6
Primary contact name SUSAN DYKSTRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE BENSAL
PRESIDENT
69 WELLS ST
CROSWELL MI 48422

Officer/Director/Trustee Two

MARY ESPINOZA
VICE PRESIDENT
121 WELLS
CROSWELL MI 48422

Officer/Director/Trustee Three

ASHLY REID
SECRETARY
51 BROWN ST
CROSWELL MI 48422

Officer/Director/Trustee Four

RONALD SUTHERLAND
TREASURER
7275 CROSWELL RD
CROSWELL MI 48422

Officer/Director/Trustee Five

SUSAN DYKSTRA
FINANCIAL SECRETARY
2425 LAKE
CARSONVILLE MI 48419

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/14
Organization Incorporation State MI
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 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 SUSAN DYKSTRA
Signature Title FINANCIAL SECRETARY
Signature Date 8/28/18

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