FORM 1023-EZ for INTERNATIONAL ASSOCIATION OF LIONSCLUBS 99746 SOMERVILLE METRO

Field Data
EIN 36-4614428
Case Number EO-2015036-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERNATIONAL ASSOCIATION OF LIONSCLUBS 99746 SOMERVILLE METRO
Organization’s Mailing Address POST OFFICE BOX 213
City SOMERVILLE
State NJ
ZIP 08876
Accounting period End 12
Primary contact name NIEVES BAUTISTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NIEVES BAUTISTA
PRESIDENT
3 COTTAGE PLACE
BRANCHBURG NJ 08876

Officer/Director/Trustee Two

JACQUELINE FUCHS
1ST VICE PRESIDENT
74 DYCKMAN PLACE
BASKING RIDGE NJ 07920

Officer/Director/Trustee Three

THERESA DOMIDER
2ND VICE PRESIDENT
1 SCHOOLHOUSE LANE
SOMERVILLE NJ 08876

Officer/Director/Trustee Four

NELDA BERNALES
SECRETARY
25 THOMAS ST
SOMERVILLE NJ 08876

Officer/Director/Trustee Five

GLORIA HERMOSO
TREASURER
7 DEMOND PLACE
SOMERVILLE NJ 08876

Organization’s website HTTP://E-CLUBHOUSE.ORG/SOMERVILLE
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2007
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
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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