FORM 1023-EZ for HERMITAGE MISSOURI LIONS CLUB FOUNDATION

Field Data
EIN 84-4806368
Case Number EO-2020055-000660
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERMITAGE MISSOURI LIONS CLUB FOUNDATION
Organization’s Mailing Address 15820 HIGHWAY U
City HERMITAGE
State MO
ZIP 65668
Accounting period End 1
Primary contact name JAMES HACKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD GINNINGS
PRESIDENT
15820 HWY U
HERMITAGE MO 65668

Officer/Director/Trustee Two

JAMES HACKETT
SECRETARY
19311 CR 291
HERMITAGE MO 65668

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 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 Yes
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 JAMES HACKETT
Signature Title SECRETARY
Signature Date 2/21/2020

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