FORM 1023-EZ for KIWANIS CLUB OF BONITA SPRINGS YP

Field Data
EIN 81-2431166
Case Number EO-2016326-000378
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF BONITA SPRINGS YP
Organization’s Mailing Address PO BOX 367884
City BONITA SPRINGS
State FL
ZIP 34136
Accounting period End 9
Primary contact name MATTHEW DEVISSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARC DEVISSE
PRESIDENT
17001 ALICO COMMERCE COURT
FORT MYERS FL 33967

Officer/Director/Trustee Two

FRANCESCA GRILLE
TREASURER
21701 ARENGA LANE
ESTERO FL 33928

Officer/Director/Trustee Three

BRANDIE DICKERSON
SECRETARY
2095 PAR DRIVE
NAPLES FL 34120

Officer/Director/Trustee Four

MATTHEW DEVISSE
LEGAL DIRECTOR
1310 HENLEY STREET UNIT 1902
NAPLES FL 34105

Officer/Director/Trustee Five

BRICE PELLICCIONI
VICE PRESIDENT
20594 ARDORE LANE
ESTERO FL 33928

Organization’s website HTTP://WWW.BONITAKIWANIS.COM/
Organization’s email BONITAKIWANISSECRETARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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