FORM 1023-EZ for TROY LIONS CLUB FOUNDATION

Field Data
EIN 81-4079087
Case Number EO-2016351-000214
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TROY LIONS CLUB FOUNDATION
Organization’s Mailing Address PO BOX 215
City TROY
State PA
ZIP 16947
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW STROUP
PRESIDENT
1544 ROUND TOP ROAD
WELLSBORO PA 16901

Officer/Director/Trustee Two

ROBYN CHAMBERLAIN
TREASURER
6377 FALLBROOK ROAD
TROY PA 16947

Officer/Director/Trustee Three

CASSY DYGERT
SECRETARY
633 MOTT TOWN ROAD
GILLETT PA 16925

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 Yes
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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