FORM 1023-EZ for KIWANIS TAMARAC FOUNDATION INC

Field Data
EIN 81-2067422
Case Number EO-2016116-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS TAMARAC FOUNDATION INC
Organization’s Mailing Address 4608 NORFOLK ISLAND PINE DRIVE
City TAMARAC
State FL
ZIP 33319
Accounting period End 12
Primary contact name WAYNE LINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT MAYERSOHN
PRESIDENT
6742 NW 80 MANOR
PARKLAND FL 33067

Officer/Director/Trustee Two

PAMIRA DAVIDSON
VICE PRESIDENT
4608 NORFOLK ISLAND PINE DRIVE
TAMARAC FL 33319

Officer/Director/Trustee Three

WAYNE LINTON
TREASURER
7683 TAMARAC INLAND CIRCLE
TAMARAC FL 33321

Officer/Director/Trustee Four

JOEL DAVIDSON
TRUSTEE
4608 NORFOLK ISLAND PINE DRIVE
TAMARAC FL 33319

Officer/Director/Trustee Five

RUSSELL THOMPSON
TRUSTEE
6270 NW 105 WAY
PARKLAND FL 33076

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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