FORM 1023-EZ for KIWANIS CLUB OF SAWGRASS SUNRISE FOUNDATION INC

Field Data
EIN 84-2694518
Case Number EO-2019239-000099
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF SAWGRASS SUNRISE FOUNDATION INC
Organization’s Mailing Address 470 NW 78TH TERR
City PLANTATION
State FL
ZIP 33324
Accounting period End 12
Primary contact name ARLENE LEWIS-MARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD BRYCE
PRESIDENT
10100 NW 30TH COURT UNIT 109
SUNRISE FL 33322

Officer/Director/Trustee Two

INGRID LAZARUS
DIRECTOR
21270 NE 8TH CT UNIT 2
MIAMI FL 33179

Officer/Director/Trustee Three

ARLENE LEWIS-MARR
SECRETARY
470 NW 78TH TERR
PLANATATION FL 33324

Officer/Director/Trustee Four

INGRID GOULBOURNE
TREASURER
2331 SW 87TH WAY
MIRAMAR FL 33025

Officer/Director/Trustee Five

MARK STENNETT
DIRECTOR
1623 WINTERBERRY LANE
WESTON FL 33327

Organization’s website
Organization’s email KCSSFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 ARLENE LEWIS-MARR
Signature Title SECRETARY
Signature Date 8/22/19

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