FORM 1023-EZ for MASSAPEQUA LIONS FOUNDATION INC

Field Data
EIN 36-4900083
Case Number EO-2018247-000692
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASSAPEQUA LIONS FOUNDATION INC
Organization’s Mailing Address 25 BEDFORD AVE
City MASSAPEQUA
State NY
ZIP 11758
Accounting period End 6
Primary contact name SUZZANNE PICCOLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUZZANNE PICCOLO
IPDG
25 BEDFORD AVE
MASSAPEQUA NY 11758

Officer/Director/Trustee Two

KEITH WILSON
PRES
1116 N BALDWIN AVE
N MASSAPEQUA NY 11758

Officer/Director/Trustee Three

DAN MCCANN
TRUSTEE
101 ANDOVER COURT
MASSAPEQUA NY 11758

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State NY
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUZZANNE PICCOLO
Signature Title IPDG
Signature Date 8/31/18

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