FORM 1023-EZ for HORN LAKE LIONS

Field Data
EIN 82-5156324
Case Number EO-2019141-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HORN LAKE LIONS
Organization’s Mailing Address 4763 ALDEN LAKE DRIVE WEST
City HORN LAKE
State MS
ZIP 38637
Accounting period End 12
Primary contact name JOHN STORLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN STORLEY
PRESIDENT
4763 ALDEN LAKE DRIVE WEST
HORN LAKE MS 38637

Officer/Director/Trustee Two

DAVE YOUNG
SECRETARY
3530 WOODMONT COVE
HORN LAKE MS 38637

Officer/Director/Trustee Three

RACHEL STORLEY
TREASURER
4763 ALDEN LAKE DRIVE WEST
HORN LAKE MS 38637

Organization’s website WWW.HORNLAKELIONSCLUB.ORG
Organization’s email HORNLAKELIONSCLUB@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/17
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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 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 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 JOHN STORLEY
Signature Title PRESIDENT
Signature Date 5/19/19

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