FORM 1023-EZ for ALLENTOWN LIONS CLUB FOUNDATION INC

Field Data
EIN 82-5010729
Case Number EO-2018094-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLENTOWN LIONS CLUB FOUNDATION INC
Organization’s Mailing Address 525 ROUTE 73 N SUITE 104
City MARLTON
State NJ
ZIP 8053
Accounting period End 12
Primary contact name ROBERT ROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT ROY
PRESIDENT/TRUSTEE
25 CLEARWATER DR
ALLENTOWN NJ 8501

Officer/Director/Trustee Two

DOUG BOTH
TREASURER/TRUSTEE
43 CHAMBERS ROAD
CREAM RIDGE NJ 8514

Officer/Director/Trustee Three

AL MOTTOLA
SECRETARY/TRUSTEE
168 ROUTE 526
ALLENTOWN NJ 8501

Officer/Director/Trustee Four

CHUCK TKACHUK
TRUSTEE
19 CREST CIRCLE DRIVE
MILLSTONE NJ 8510

Officer/Director/Trustee Five

WILLIAM SEARING
TRUSTEE
121 BENNETT PLACE
HIGHTSTOWN NJ 8520

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 ROBERT ROY
Signature Title PRESIDENT/TRUSTEE
Signature Date 4/2/18

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