FORM 1023-EZ for LIONS CLUB OF ROSSMOOR FOUNDATION

Field Data
EIN 82-1544809
Case Number EO-2017150-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS CLUB OF ROSSMOOR FOUNDATION
Organization’s Mailing Address PO BOX 2181
City WALNUT CREEK
State CA
ZIP 94595
Accounting period End 6
Primary contact name CALVIN ZEHNDER II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CALVIN ZEHNDER II
PRESIDENT, DIRECTOR
3474 TICE CREEK DR UNIT 4
WALNUT CREEK CA 94595

Officer/Director/Trustee Two

BETTY DREYER
SECRETARY, DIRECTOR
4320 TERRA GRANADA DR STE 1-A
WALNUT CREEK CA 94595

Officer/Director/Trustee Three

DAVID WEBER
TREASURER, DIRECTOR
1144 SINGINGWOOD DR UNIT 3
WALNUT CREEK CA 94595

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2017
Organization Incorporation State CA
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 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
Signature Title
Signature Date

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