FORM 1023-EZ for SARGENT AREA LIONS FOUNDATION

Field Data
EIN 82-3389014
Case Number EO-2018297-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SARGENT AREA LIONS FOUNDATION
Organization’s Mailing Address PO BOX 4242
City SARGENT
State TX
ZIP 77404
Accounting period End 12
Primary contact name PATRICIA THEROS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA RAE SOUTHARD
PRESIDENT, DIRECTOR
2515 COUNTY RD 291
SARGENT TX 77414

Officer/Director/Trustee Two

PATRICIA THEROS
SECRETARY, DIRECTOR
239 COUNTY RD 299
SARGENT TX 77414

Officer/Director/Trustee Three

LINDA BAXTER
TREASURER, DIRECTOR
PO BOX 4071
SARGENT TX 77404

Organization’s website WWW.SARGENTLIONS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 PATRICIA THEROS
Signature Title SECRETARY, DIRECTOR
Signature Date 10/22/18

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