FORM 1023-EZ for THE KIWANIS CLUB OF SAN LUIS OBISPOFOUNDATION

Field Data
EIN 82-2848303
Case Number EO-2017265-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KIWANIS CLUB OF SAN LUIS OBISPOFOUNDATION
Organization’s Mailing Address 1241 JOHNSON AVE STE 311
City SAN LUIS OBISPO
State CA
ZIP 93401-3306
Accounting period End 12
Primary contact name MICHAEL R JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL JOHNSON
TRUSTEE
1241 JOHNSON AVE STE 311
SAN LUIS OBISPO CA 93401-3306

Officer/Director/Trustee Two

HILDING LARSON
PRESIDENT
P O BOX 536
SAN LUIS OBISPO CA 93406

Officer/Director/Trustee Three

ROBERT KITAMURA
VICE PRESIDENT
3030 JOHNSON AVE
SAN LUIS OBISPO CA 93401

Officer/Director/Trustee Four

MILTON BATSON
SECRETARY
316 ZENON WAY
ARROYO GRANDE CA 93420

Officer/Director/Trustee Five

HENRY RIBLE
TREASURER
P O BOX 3838
SAN LUIS OBISPO CA 93403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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