﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.irs.gov/efile" returnVersion="2021v4.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-03-15T06:36:20-04:00</ReturnTs>
    <TaxPeriodEndDt>2022-06-30</TaxPeriodEndDt>
    <ReturnTypeCd>990EZ</ReturnTypeCd>
    <TaxPeriodBeginDt>2021-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>472284546</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Fairfield HOST Lions Community Service Foundation Inc</BusinessNameLine1Txt>
      </BusinessName>
      <InCareOfNm>% Leo Martin</InCareOfNm>
      <BusinessNameControlTxt>FAIR</BusinessNameControlTxt>
      <ForeignPhoneNum>7076461201</ForeignPhoneNum>
      <USAddress>
        <AddressLine1Txt>P O Box 126</AddressLine1Txt>
        <CityNm>Fairfield</CityNm>
        <StateAbbreviationCd>CA</StateAbbreviationCd>
        <ZIPCd>94533</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Leo Martin</PersonNm>
      <PersonTitleTxt>Treasurer</PersonTitleTxt>
      <SignatureDt>2024-03-15</SignatureDt>
      <DiscussWithPaidPreparerInd>false</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <TaxYr>2021</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990EZ documentId="IRS990EZ" softwareId="21013404" softwareVersionNum="V1.0" documentName="IRS990EZ" referenceDocumentName="IRS990ScheduleO ReasonableCauseExplanation TransfersPersonalBenefitsContractsDeclaration BinaryAttachment">
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <ScheduleBNotRequiredInd>X</ScheduleBNotRequiredInd>
      <Organization501c3Ind referenceDocumentId="IRS990ScheduleA1" referenceDocumentName="IRS990ScheduleA">X</Organization501c3Ind>
      <TypeOfOrganizationOtherInd>X</TypeOfOrganizationOtherInd>
      <TypeOfOrganizationOtherDesc>Foundation</TypeOfOrganizationOtherDesc>
      <GrossReceiptsAmt>58957</GrossReceiptsAmt>
      <InfoInScheduleOPartIInd>X</InfoInScheduleOPartIInd>
      <FundraisingGrossIncomeAmt fndrsngEventContriPrevRptAmt="0" referenceDocumentName="IRS990ScheduleG">58957</FundraisingGrossIncomeAmt>
      <SpecialEventsDirectExpensesAmt>10202</SpecialEventsDirectExpensesAmt>
      <SpecialEventsNetIncomeLossAmt>48755</SpecialEventsNetIncomeLossAmt>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <GrossProfitLossSlsOfInvntryAmt>0</GrossProfitLossSlsOfInvntryAmt>
      <TotalRevenueAmt>48755</TotalRevenueAmt>
      <GrantsAndSimilarAmountsPaidAmt>49949</GrantsAndSimilarAmountsPaidAmt>
      <PrintingPublicationsPostageAmt>667</PrintingPublicationsPostageAmt>
      <TotalExpensesAmt>50616</TotalExpensesAmt>
      <ExcessOrDeficitForYearAmt>-1861</ExcessOrDeficitForYearAmt>
      <NetAssetsOrFundBalancesBOYAmt>19427</NetAssetsOrFundBalancesBOYAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <NetAssetsOrFundBalancesEOYAmt>17566</NetAssetsOrFundBalancesEOYAmt>
      <CashSavingsAndInvestmentsGrp>
        <BOYAmt>19427</BOYAmt>
        <EOYAmt>17566</EOYAmt>
      </CashSavingsAndInvestmentsGrp>
      <Form990TotalAssetsGrp>
        <BOYAmt>19427</BOYAmt>
        <EOYAmt>17566</EOYAmt>
      </Form990TotalAssetsGrp>
      <NetAssetsOrFundBalancesGrp>
        <BOYAmt>19427</BOYAmt>
        <EOYAmt>17566</EOYAmt>
      </NetAssetsOrFundBalancesGrp>
      <PrimaryExemptPurposeTxt>To provide service and support to our local community.</PrimaryExemptPurposeTxt>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>Cash support to the Fairfield Police Activities League.</DescriptionProgramSrvcAccomTxt>
        <GrantsAndAllocationsAmt>35000</GrantsAndAllocationsAmt>
        <ProgramServiceExpensesAmt>10202</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <ProgramSrvcAccomplishmentGrp>
        <DescriptionProgramSrvcAccomTxt>Eight $1000 Scholarship grants.</DescriptionProgramSrvcAccomTxt>
        <GrantsAndAllocationsAmt>5500</GrantsAndAllocationsAmt>
        <ProgramServiceExpensesAmt>65</ProgramServiceExpensesAmt>
      </ProgramSrvcAccomplishmentGrp>
      <TotalProgramServiceExpensesAmt>10267</TotalProgramServiceExpensesAmt>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Francisco Moreno</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Terry Meader</PersonNm>
        <TitleTxt>Vice-President</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>4</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Victor Herdon</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>5</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <OfficerDirectorTrusteeEmplGrp>
        <PersonNm referenceDocumentName="CompensationExplanation">Leo Martin</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHrsPerWkDevotedToPosRt>10</AverageHrsPerWkDevotedToPosRt>
        <CompensationAmt>0</CompensationAmt>
        <EmployeeBenefitProgramAmt>0</EmployeeBenefitProgramAmt>
        <ExpenseAccountOtherAllwncAmt>0</ExpenseAccountOtherAllwncAmt>
      </OfficerDirectorTrusteeEmplGrp>
      <ActivitiesNotPreviouslyRptInd>false</ActivitiesNotPreviouslyRptInd>
      <ChgMadeToOrgnzngDocNotRptInd>false</ChgMadeToOrgnzngDocNotRptInd>
      <OrganizationHadUBIInd>false</OrganizationHadUBIInd>
      <SubjectToProxyTaxInd referenceDocumentName="IRS990ScheduleC">false</SubjectToProxyTaxInd>
      <OrganizationDissolvedEtcInd referenceDocumentName="IRS990ScheduleN BinaryAttachment">false</OrganizationDissolvedEtcInd>
      <Form1120PolFiledInd>false</Form1120PolFiledInd>
      <MadeLoansToFromOfficersInd>false</MadeLoansToFromOfficersInd>
      <EngagedInExcessBenefitTransInd referenceDocumentName="IRS990ScheduleL">false</EngagedInExcessBenefitTransInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <StatesWhereCopyOfReturnIsFldCd>CA</StatesWhereCopyOfReturnIsFldCd>
      <BooksInCareOfDetail>
        <PersonNm>Leo Martin</PersonNm>
        <USAddress>
          <AddressLine1Txt>P O Box 126</AddressLine1Txt>
          <CityNm>Fairfield</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94533</ZIPCd>
        </USAddress>
        <PhoneNum>7076461201</PhoneNum>
      </BooksInCareOfDetail>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <DonorAdvisedFndsInd>false</DonorAdvisedFndsInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <TanningServicesProvidedInd>false</TanningServicesProvidedInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <PoliticalCampaignActyInd referenceDocumentName="IRS990ScheduleC">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentName="IRS990ScheduleC">false</LobbyingActivitiesInd>
      <SchoolOperatingInd referenceDocumentName="IRS990ScheduleE">false</SchoolOperatingInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <PartVIOfCompOfHghstPdEmplTxt>NONE</PartVIOfCompOfHghstPdEmplTxt>
      <PartVIHghstPdCntrctProfSrvcTxt>NONE</PartVIHghstPdCntrctProfSrvcTxt>
      <FiledScheduleAInd>true</FiledScheduleAInd>
    </IRS990EZ>
    <IRS990ScheduleA documentId="IRS990ScheduleA1" documentName="IRS990ScheduleA">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>Fairfield HOST Lions Club</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>237087366</EIN>
        <OrganizationTypeCd>10</OrganizationTypeCd>
        <GoverningDocumentListedInd>false</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>false</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>false</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
      </Form990SchAType3SprtOrgAllGrp>
      <Form990SchAType3FuncIntGrp>
        <ActivitiesTestInd>X</ActivitiesTestInd>
        <ActivitiesFurtherExemptPrpsInd>false</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>false</ActivitiesEngagedOrgInvlmntInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section A line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the Foundation are also members of the Fairfield HOST Lions Club.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section D, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Members of the Foundation including Directors are members of both the Foundation and the Fairfield HOST Lions Club.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleG documentId="IRS990ScheduleG1" documentName="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>Prime Rib in the Park</Event1Nm>
        <GrossReceiptsEvent1Amt>58957</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>0</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>58957</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>0</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>0</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>0</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>6000</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>2131</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>2071</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>58957</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>0</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>58957</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>0</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>0</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>0</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6000</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>2131</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>2071</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>10202</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>48755</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="IRS990ScheduleO1" documentName="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 10</FormAndLineReferenceDesc>
        <ExplanationTxt>| Activity:, Grantee Name:, Grantee Address:, Amount:, Relationship:| Local Non-Profit Museum., American Armory Museum, "4144 Abernathy Rd Fairfield CA 94534", $500.00, None| Support for local Boy Scout Organization., Boy Scout Troop 853, "PO BOX 126 Fairfield CA 94533", $338.00, None| Support for County organization that helps children in the legal system., Court Appointed Special Advocates, "600 Union Ave. Suite 204 Fairfield CA 94533", $500.00, None| Support of non-profit that help low income families with hearing services., Ear of the Lion Foundation of Calif, "850 San Jose Av. Suite 115 Clovis CA 93612", $180.00, None| Support of non-profit that provides services to the blind., Earle Baum Center for the Blind In, "4539 Occidental Rd Santa Rosa CA 95401", $500.00, None| Support of non-profit that provides vision care to low-income families., Lions Eye Foundation of California, "P. O. Box 7999 San Francisco CA 94120-7999", $234.00, None| Support of organization that collects and recycles eyeglasses., Lions in Sight of California Neva, "1404 Lemon St Vallejo CA 94590", $258.00, None| Support to organization that helps train support dogs., Lions Project for Canine Companions, "2965 Dutton Avenue Santa Rosa CA 95407", $600.00, None| Support to organization the helps bring meals to peoples homes., Meals on Wheels of Solano County, "95 Marina Center Suisun City CA 94585", $1000.00, None| Support to the Cancer Center at local Medical Center., NorthBay Healthcare Foundation, "4500 Business Center Dr. Fairfield CA 94534", $1000.00, None| Support to organization the helps Active-Duty Service members and their families., Operation Care and Comfort, "3173 Pebble Beach Cir Fairfield CA 94533", $500.00, None| Support to organization that helps victims of domestic issues., Safe Quest Solano, "1261 Travis Blvd Suite 260 Fairfield CA 94533", $500.00, None| Support to local Community Symphony., Solano Community Symphony Assoc, "P. O. Box 154 Fairfield CA 94533", $750.00, None| Support to organization that rescues animals and birds., Suisun Marsh Natural History Associ, "1171 Kellogg St Suisun City CA 94585", $500.00, None| Support of local Student Speaker Contest for High School Students., Student Speaker Contest, "331 Spur Trail Ave. Walnut CA 91789", $424.00, None| Support of local Food Bank., Food Bank of Contra Costa Solano, "2370 North Watney Way Fairfield CA 94533", $500.00, None| Support of local Salvation Army Organization., Salvation Army of Solano County, "586 East Wigeon Way Suisun City CA 94585", $500.00, None| Support of local church to support school supplies give a way and vision screenings., St Marks Lutheran Church of Fairfi, "1600 Union Avenue Fairfield CA 94533", $300.00, None| Donation to assist Leo program., Visalia Charter Oak Lions Foundatio, "P. O. Box 3914 Visalia CA 93291", $100.00, None| Support of local High School safety program., Armijo High School Sober Grad Nite, "P. O. Box 2550 Suisun City CA 94585-5550", $200.00, None| Scholarship grants to local high school students., Assist a Grad Scholarship Foundatio, "1111 Webster St Fairfield CA 94533", $5565.00, None| Support of local Police Activities League, Fairfield Police Activities League, "P. O. Box 3342 Fairfield CA 94533", $35000.00, None|</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>