FORM 1023-EZ for SAN ANTONIO WEST SIDE LIONS CLUB

Field Data
EIN 74-6075311
Case Number EO-2015155-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN ANTONIO WEST SIDE LIONS CLUB
Organization’s Mailing Address 6838 BROOKVALE
City SAN ANTONIO
State TX
ZIP 78238-3007
Accounting period End 6
Primary contact name JOHNNY D VILLALOBOS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN MEDINA
PRESIDENT
1922 W KINGS HWY
SAN ANTONIO TX 78201-4924

Officer/Director/Trustee Two

JOHNNY D VILLALOBOS JR
TREASURER
8301 LAKE VISTA APT 236
SAN ANTONIO TX 78227-4373

Officer/Director/Trustee Three

RAY CASTILLO
SECRETARY
6838 BROOKVALE
SAN ANTONIO TX 78238-3007

Officer/Director/Trustee Four

LETICIA LUNA
PROGRAM PLANNER
6415 BROOKWAY DR
SAN ANTONIO TX 78240-4943

Officer/Director/Trustee Five

ROSE J ANTONIO
TAIL TWISTER
12810 SAINT LEGER ST
SAN ANTONIO TX 78233-5134

Organization’s website HTTP://E-CLUBHOUSE.ORG/SITES/SAWESTSIDE/INDEX.PHP
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/1951
Organization Incorporation State TX
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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