FORM 1023-EZ for KIWANIS CLUB OF SOMERSET KENTUCKY FOUNDATION INC

Field Data
EIN 81-0761171
Case Number EO-2016057-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF SOMERSET KENTUCKY FOUNDATION INC
Organization’s Mailing Address 319 LAKEPOINTE DR
City SOMERSET
State KY
ZIP 42503-4795
Accounting period End 9
Primary contact name NORMAN MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEROME STYKES
DIRECTOR
201 N MAIN ST
SOMERSET KY 42501

Officer/Director/Trustee Two

MARCUS VANOVER
DIRECTOR
3701 OAKHILL RD
SOMERSET KY 42503

Officer/Director/Trustee Three

JEFFREY HENDERSON
PRESIDENT
180 AMY LANE
NANCY KY 42544

Officer/Director/Trustee Four

NORMAN MARTIN
TREASURER
319 LAKEPOINTE DR
SOMERSET KY 42503-4795

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community 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 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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