FORM 1023-EZ for LAKE CHARLES KIWANIS NORTH FOUNDATION

Field Data
EIN 47-4527064
Case Number EO-2015345-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE CHARLES KIWANIS NORTH FOUNDATION
Organization’s Mailing Address ONE LAKESHORE DRIVE SUITE 1110
City LAKE CHARLES
State LA
ZIP 70629
Accounting period End 12
Primary contact name MARSHALL SIMIEN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA FORSYTHE
DIRECTOR
2420 17TH STREET
LAKE CHARLES LA 70601

Officer/Director/Trustee Two

DIANNA ROSS
DIRECTOR
520 PRYCE STREET
LAKE CHARLES LA 70601

Officer/Director/Trustee Three

LARRY BRIGNAC
DIRECTOR
2726 GUINN STREET
LAKE CHARLES LA 70601

Officer/Director/Trustee Four

KARNNEILUS DUHON
DIRECTOR
1733 MYRTLE STREET
LAKE CHARLES LA 70669

Officer/Director/Trustee Five

FRANK PRYCE
DIRECTOR
331 ENTERPRISE BOULEVARD
LAKE CHARLES LA 70601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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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