FORM 1023-EZ for CENTRAL DUPAGE KIWANIS CLUB FOUNDATION

Field Data
EIN 36-4250164
Case Number EO-2017174-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL DUPAGE KIWANIS CLUB FOUNDATION
Organization’s Mailing Address PO BOX 624
City WHEATON
State IL
ZIP 60189
Accounting period End 12
Primary contact name TIMOTHY CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY CLARK
PRESIDENT
848 CHANCEL CIR
GLEN ELLYN IL 60137

Officer/Director/Trustee Two

JULIAN ROGUS
TREASURER
841 CHANCEL CIR
GLEN ELLYN IL 60137

Officer/Director/Trustee Three

MIKE WILKEN
VICE PRESIDENT
470 RIDGEWOOD
GLEN ELLYN IL 60137

Officer/Director/Trustee Four

PEGGY WILKEN
SECRETARY
470 RIDGEWOOD
GLEN ELLYN IL 60137

Officer/Director/Trustee Five

ROBERT RENFRO
DIRECTOR
346 HAWTHORNE
GLEN ELLYN IL 60137

Organization’s website HTTP://WWW.CENTRALDUPAGEKIWANIS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/1998
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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