FORM 1023-EZ for LIONS CLUB OF ANITA

Field Data
EIN 84-2883419
Case Number EO-2019256-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIONS CLUB OF ANITA
Organization’s Mailing Address 694 MAIN STREET PO BOX 305
City ANITA
State IA
ZIP 50020
Accounting period End 12
Primary contact name JAMES W MAILANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL RABE
DIRECTOR
8912 G-24 HWY
INDIANOLA IA 50125

Officer/Director/Trustee Two

LYNN JOHNSON
DIRECTOR
609 7TH STREET
ANITA IA 50020

Officer/Director/Trustee Three

JOE WOLLUM
DIRECTOR
908 RIDGE RD
ANITA IA 50020

Officer/Director/Trustee Four

LARRY HUNT
DIRECTOR
208 MARS AVE
ANITA IA 50020

Officer/Director/Trustee Five

DAVID MCCASKEY
DIRECTOR
58251 750TH ST
ANITA IA 50020

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 RANDALL RABE
Signature Title DIRECTOR
Signature Date 9/9/19

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