FORM 1023-EZ for MEXIA LIONS FOUNDATION

Field Data
EIN 83-1959662
Case Number EO-2019052-000388
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEXIA LIONS FOUNDATION
Organization’s Mailing Address PO BOX 94
City MEXIA
State TX
ZIP 76667-94
Accounting period End 6
Primary contact name DANIEL BURKEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL BURKEEN
DIRECTOR
PO BOX 947
MEXIA TX 76667-947

Officer/Director/Trustee Two

PATTY MANLEY
DIRECTOR
1178 LCR 198
COOLIDGE TX 76635

Officer/Director/Trustee Three

KATHY STUBBS
DIRECTOR
PO BOX 1413
MEXIA TX 76667-1413

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G41 - Eye Diseases, Blindness and Vision Impairments
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 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 DANIEL BURKEEN
Signature Title DIRECTOR
Signature Date 2/19/19

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