FORM 1023-EZ for KIWANIS CLUB OF ANDERSON FOUNDATION

Field Data
EIN 94-6102266
Case Number EO-2015071-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF ANDERSON FOUNDATION
Organization’s Mailing Address P O BOX 1241
City ANDERSON
State CA
ZIP 96007
Accounting period End 10
Primary contact name DORA SWANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES YARBROUGH
PRESIDENT
2936 COBBLETONE LOOP
ANDERSON CA 96007

Officer/Director/Trustee Two

LILA MOWER
VICE PRESIDENT
5706 LALLEY LANE
ANDERSON CA 96007

Officer/Director/Trustee Three

LARRY MOWER
SECRETARY
5706 LALLEY LANE
ANDEROSN CA 96007

Officer/Director/Trustee Four

DORA SWANSON
TREASURER
6935 PINE DRIVE
ANDERSON CA 96007

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/1952
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S81 - Women's 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 No
One Third Support Gifts Yes
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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