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Lions District 14A Charitable Foundation Assistance Request Last Name First Name Date (Please print legibly) Birthdate / / Married Single Widowed Divorced Separated Home Address City/State/Zip Mailing

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Lions District 14-A Charitable is a non-profit organization dedicated to supporting various causes such as vision care, diabetes awareness, youth programs, and disaster relief.

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Individuals or organizations who have made donations or received support from Lions District 14-A Charitable may be required to file.

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To fill out the Lions District 14-A Charitable form, you will need to provide information about your donations, expenses, and the specific programs or initiatives you have supported.

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The purpose of Lions District 14-A Charitable is to provide assistance to those in need, promote community service, and support various charitable causes.

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Information such as donations received, expenses incurred, and details of the charitable activities supported by Lions District 14-A must be reported on the form.

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