FORM 1023-EZ for BARTOW LIONS FOUNDATION INC

Field Data
EIN 83-3758227
Case Number EO-2019119-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARTOW LIONS FOUNDATION INC
Organization’s Mailing Address 1907 CLUBHOUSE ROAD
City LAKELAND
State FL
ZIP 33813
Accounting period End 12
Primary contact name MARK MULPAGANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK MULPAGANO
PRESIDENT
1907 CLUBHOUSE ROAD
LAKELAND FL 33813

Officer/Director/Trustee Two

TEIA TROWELL-THAGARD
1ST VICE PRESIDENT
2150 EL PASO TRL
BARTOW FL 33830

Officer/Director/Trustee Three

MARCO AVILA
2ND VICE PRESIDENT
1530 PALM PLACE
BARTOW FL 33830

Officer/Director/Trustee Four

NICOLE DIAMANTAS
TREASURER
6542 AMI ANN CT
LAKELAND FL 33813

Officer/Director/Trustee Five

NITA PRATER
SECRETARY
605 20TH STREET SW
WINTER HAVEN FL 33880

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 MARK MULPAGANO
Signature Title PRESIDENT
Signature Date 4/25/19

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