FORM 1023-EZ for NORRIS LIONS CLUB INC

Field Data
EIN 46-1166001
Case Number EO-2018032-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORRIS LIONS CLUB INC
Organization’s Mailing Address P O BOX 1186
City NORRIS
State TN
ZIP 37828
Accounting period End 6
Primary contact name LARRY C HOWLETT CPA FORM 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOBY BROWN
TREASURER
P O BOX1186
NORRIS TN 37828

Officer/Director/Trustee Two

ROY LANGHELD
PRESIDENT
P O BOX 365
NORRIS TN 37828

Officer/Director/Trustee Three

RONALD FORREST
FIRST VICE PRESIDENT
237 BRADEN COURT
CLINTON TN 37828

Officer/Director/Trustee Four

STEVEN PAINTER
SECOND VICE PRESIDENT
P O BOX 786
NORRIS TN 37828

Officer/Director/Trustee Five

ROBERT HANSON
SECRETARY
209 CUTTAWA LANE
ANDERSONVILLE TN 37828

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 No
Correctness Declaration Yes
Signature Name TOBY BROWN
Signature Title TREASURER
Signature Date 1/30/18

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