FORM 1023-EZ for KIWANIS CLUB OF HOLLAND FOUNDATIONINC

Field Data
EIN 82-1454494
Case Number EO-2021190-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF HOLLAND FOUNDATIONINC
Organization’s Mailing Address PO BOX 297
City HOLLAND
State NY
ZIP 14080
Accounting period End 9
Primary contact name MIKE ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA PFISTER
PRESIDENT
PO BOX 297
HOLLAND NY 14080

Officer/Director/Trustee Two

SCOTT YOUNGERS
PRESIDENT-ELECT
PO BOX 297
HOLLAND NY 14080

Officer/Director/Trustee Three

SUSAN BANDERBUSH
VICE-PRESIDENT
PO BOX 297
HOLLAND NY 14080

Officer/Director/Trustee Four

KIM LEACH
TREASURER
PO BOX 297
HOLLAND NY 14080

Officer/Director/Trustee Five

LARRY JOHNSON
SECRETARY
PO BOX 297
HOLLAND NY 14080

Organization’s website
Organization’s email MADAMS@ERBCO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 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 LAURA PFISTER
Signature Title PRESIDENT
Signature Date 7/7/2021
EIN 82-1454494
Case Number EO-2017240-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF HOLLAND FOUNDATION INC
Organization’s Mailing Address PO BOX 297
City HOLLAND
State NY
ZIP 14080
Accounting period End 9
Primary contact name GEORGE R BLAIR JR ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORRAINE KASPRZYK
PRESIDENT
9432 S PROTECTION ROAD
HOLLAND NY 14080

Officer/Director/Trustee Two

MARCIA HAZLETT
PRESIDENT ELECT
11424 PARTRIDGE ROAD
HOLLAND NY 14080

Officer/Director/Trustee Three

JOHN HILTON
VICE PRESIDENT
5859 HUNTERS CREEK ROAD
SOUTH WALES NY 14139

Officer/Director/Trustee Four

PAUL ROWE
TREASURER
9568 E HOLLAND ROAD
HOLLAND NY 14080

Officer/Director/Trustee Five

BONNIE L BAKER
IMMEDIATE PAST PRESIDENT
10709 PARTRIDGE ROAD
HOLLAND NY 14080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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