FORM 1023-EZ for ROANOKE LIONS CLUB FOUNDATION

Field Data
EIN 83-3874150
Case Number EO-2019070-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROANOKE LIONS CLUB FOUNDATION
Organization’s Mailing Address PO BOX 952
City ROANOKE
State TX
ZIP 76262-952
Accounting period End 12
Primary contact name JAMES COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHIL BECKMAN
PRESIDENT
3605 VARDEN STREET
FORT WORTH TX 76244

Officer/Director/Trustee Two

KEN DRINKWATER
SECRETARY
406 AYLESBURY COURT
ROANOKE TX 76262

Officer/Director/Trustee Three

JAMES COOK
TREASURER
PO BOX 1023
KELLER TX 76244-1023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES COOK
Signature Title TREASURER
Signature Date 3/8/19

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