FORM 1023-EZ for HALES CORNERS LIONS CHARITABLE FOUNATION INC

Field Data
EIN 83-4712228
Case Number EO-2019214-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HALES CORNERS LIONS CHARITABLE FOUNATION INC
Organization’s Mailing Address 5624 S 113TH ST
City HALES CORNERS
State WI
ZIP 53130
Accounting period End 6
Primary contact name BETH HARYCKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH HARYCKI
PRESIDENT
5624 S 113TH ST
HALES CORNERS WI 53130

Officer/Director/Trustee Two

LINDA BERGAN
VICE PRESIDENT
11217 W MALLORY AVE
HALES CORNERS WI 53130

Officer/Director/Trustee Three

ROBERT KLAR
VICE PRESIDENT
4861 S 122TH ST
GREENFIELD WI 53228

Officer/Director/Trustee Four

DIANE BESSON
SECRETARY
5792 S LORY LN
HALES CORNERS WI 53130

Officer/Director/Trustee Five

JAMES BAIN
TREASURER
5139 S ROOT RIVER PKWY
GREENFIELD WI 53228

Organization’s website
Organization’s email HCLIONSFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 BETH HARYCKI
Signature Title PRESIDENT
Signature Date 7/30/19

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