FORM 1023-EZ for VALPARAISO LIONS VISION CARE INC

Field Data
EIN 35-1999142
Case Number EO-2014234-000205
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VALPARAISO LIONS VISION CARE INC
Organization’s Mailing Address PO BOX 64
City VALPARAISO
State IN
ZIP 46384-0064
Accounting period End 7
Primary contact name RICHARD IRELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF ZULICH
PRESIDENT
3508 LAKE MEADOW DR
VALPARAISO IN 46385-8972

Officer/Director/Trustee Two

RICHARD IRELAND
SECRETARY
1651 TIPPECANOE CT
VALPARAISO IN 46385

Officer/Director/Trustee Three

JAMES CLINE
TREASURER
4800 CAMPBELL ST
VALPARAISO IN 46385

Organization’s website WWW.VALPARAISOLIONS.ORG
Organization’s email LIONIRELAND@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/1996
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P86 - Blind/Visually Impaired Centers, 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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