FORM 1023-EZ for BROADALBIN-PERTH LIONS FOUNDATION

Field Data
EIN 83-4660720
Case Number EO-2019182-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROADALBIN-PERTH LIONS FOUNDATION
Organization’s Mailing Address P O BOX 331
City BROADALBIN
State NY
ZIP 12025
Accounting period End 12
Primary contact name WILLIAM SUCHY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM SUCHY
PRESIDENT
145 MEMORY LANE
AMSTERDAM NY 12010

Organization’s website
Organization’s email BPLIONS@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/19
Organization Incorporation State NY
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 No
Disaster relief assistance No
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 No
Correctness Declaration Yes
Signature Name WILLIAM SUCHY
Signature Title PRESIDENT
Signature Date 6/26/19

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