FORM 1023-EZ for AUBURN LIONS CLUB INC

Field Data
EIN 26-3681888
Case Number EO-2019102-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUBURN LIONS CLUB INC
Organization’s Mailing Address 3241 COUNTY ROAD 36
City AUBURN
State IN
ZIP 46706
Accounting period End 5
Primary contact name DOUG LOCKWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN GROSJEAN
PRESIDENT
118 ZONA DR
AUBURN IN 46706

Officer/Director/Trustee Two

DOUG LOCKWOOD
VICE PRESIDENT
3241 COUNTY ROAD 36
AUBURN IN 46706

Officer/Director/Trustee Three

FREDA DONLEY
SECRETARY
804 COLUMBINE CIRCLE
AUBURN IN 46706

Officer/Director/Trustee Four

MICHAEL JOHNSON
TREASURER
3480 COUNTY ROAD 36
AUBURN IN 46706

Officer/Director/Trustee Five

DAVID CSEREP JR
2ND VICE PRESIDENT
2876 COUNTY ROAD 56
AUBURN IN 46706

Organization’s website AUBURNLIONS.ORG/WP/
Organization’s email DALOCKWOOD4@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/05
Organization Incorporation State IN
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: 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 Yes
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 DOUG LOCKWOOD
Signature Title VICE PRESIDENT
Signature Date 4/10/19

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