FORM 1023-EZ for LIONS CLUB OF LAKELAND FOUNDATION

Field Data
EIN 81-2586627
Case Number EO-2016133-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS CLUB OF LAKELAND FOUNDATION
Organization’s Mailing Address 319 W POINSETTIA STREET
City LAKELAND
State FL
ZIP 33803
Accounting period End 12
Primary contact name GARY WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHANIE BALDWIN
PRESIDENT
5349 SONG SPARROW CT
LAKELAND FL 33811

Officer/Director/Trustee Two

CHRISTI JACKSON
VICE PRESIDENT
345 MARKET SQUARE EAST
LAKELAND FL 33813

Officer/Director/Trustee Three

JANICE GELISSEN
SECRETARY/TREASURER
825 ROCKINGHAM ROAD
LAKELAND FL 33089

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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