FORM 1023-EZ for PALM SPRINGS LIONS

Field Data
EIN 45-3327593
Case Number EO-2016126-000341
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALM SPRINGS LIONS
Organization’s Mailing Address 490 S FARRELL DRIVE STE C200
City PALM SPRINGS
State CA
ZIP 92262
Accounting period End 6
Primary contact name ROBERT MCCULLOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN GRAHAM
PRESIDENT
490 S FARRELL DR STE C200
PALM SPRINGS CA 92262

Officer/Director/Trustee Two

CATHY BRANT
SECRETARY
776 N HERMOSA
PALM SPRINGS CA 92262

Officer/Director/Trustee Three

ROBERT MCCULLOCH
CHIEF FINANCIAL OFFICER
490 S FARRELL DR STE C200
PALM SPRINGS CA 92262

Officer/Director/Trustee Four

TRISH WORTMAN
VICE-PRESIDENT
490 S FARRELL DR STE C200
PALM SPRINGS CA 92262

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2008
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
One Third Support Gifts No
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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