FORM 1023-EZ for THE KIWANIS CLUB OF TABB VA FOUNDATION INC

Field Data
EIN 47-2049901
Case Number EO-2014316-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KIWANIS CLUB OF TABB VA FOUNDATION INC
Organization’s Mailing Address 109 AMBROSIA PL
City POQUOSON
State VA
ZIP 23662-0009
Accounting period End 9
Primary contact name JUDITH P LETCHWORTH TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL G DASOVICH
PRESIDENT
106 ROSETTA DRIVE
YORKTOWN VA 23693

Officer/Director/Trustee Two

RANDY PINE
DIRECTOR
101 TREIS TRAIL
YORKTOWN VA 23693

Officer/Director/Trustee Three

KELLY GARNER
DIRECTOR
6 PENN CIRCLE C
NEWPORT NEWS VA 23606

Officer/Director/Trustee Four

STEVEN READER
DIRECTOR
113 CRANDOL DRIVE
YORKTOWN VA 23693

Officer/Director/Trustee Five

VIVIAN KRUGER
DIRECTOR
901 YORK WARWICK DRIVE
YORKTOWN VA 23692

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2014
Organization Incorporation State VA
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 Yes
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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