FORM 1023-EZ for MOMENCE LIONS CLUB

Field Data
EIN 36-6110158
Case Number EO-2014247-000091
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMENCE LIONS CLUB
Organization’s Mailing Address PO BOX 444
City MOMENCE
State IL
ZIP 60954
Accounting period End 12
Primary contact name CORY ILLUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS TURRELL
PRESIDENT
518 N MARKET ST
MOMENCE IL 60954

Officer/Director/Trustee Two

NOVA METZ
SECRETARY
420 E FOURTH ST
MOMENCE IL 60954

Officer/Director/Trustee Three

CORY ILLUM
TREASURER
408 N LOCUST ST
MOMENCE IL 60954

Officer/Director/Trustee Four

RICH VOSS
VICE PRESIDENT
6248 N 16000 EAST ROAD
MOMENCE IL 60954

Officer/Director/Trustee Five

JEFF MITCHELL
DIRECTOR
217 N ASH ST
MOMENCE IL 60954

Organization’s website WWW.MOMENCELIONS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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