FORM 1023-EZ for MISSOURI LIONS EYE MISSION FOUNDATION

Field Data
EIN 82-4028515
Case Number EO-2018022-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSOURI LIONS EYE MISSION FOUNDATION
Organization’s Mailing Address 128 LAKE WASHINGTON DR
City WASHINGTON
State MO
ZIP 63090-5382
Accounting period End 12
Primary contact name LEON HOVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYDELL PORTERFIELD
PRESIDENT
313 ORIOLE DR
ST. CHARLES MO 63301

Officer/Director/Trustee Two

DEVIN STRUTTMAN
VICE PRESIDENT
770 OAKMONT LN
UNION MO 63084

Officer/Director/Trustee Three

LEON HOVE
TREASURER
128 LAKE WASHINGTON DR
WASHINGTON MO 63090-5382

Officer/Director/Trustee Four

DORIS EAGLE
SECRETARY
1630 WEST BORIS DR
COLUMBIA MO 65203

Organization’s website NA
Organization’s email HOVE128@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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 LEON HOVE
Signature Title TREASURER
Signature Date 1/19/18

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