FORM 1023-EZ for ROXBORO KIWANIS CLUB FOUNDATION INC

Field Data
EIN 82-1819170
Case Number EO-2017166-000216
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROXBORO KIWANIS CLUB FOUNDATION INC
Organization’s Mailing Address 141 SEMORA ROAD
City ROXBORO
State NC
ZIP 27573
Accounting period End 12
Primary contact name DANIEL CRAIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID TURNER
PRESIDENT
645 LONG AVE
ROXBORO NC 27573

Officer/Director/Trustee Two

PAUL WILLIAMS
SECRETARY
474 WESTOVER DR
ROXBORO NC 27573

Officer/Director/Trustee Three

JAMES WOODY
TREASURER
242 OLD SALEM ROAD
ROXBORO NC 27573

Officer/Director/Trustee Four

ALAN HICKS
DIRECTOR
205 N MAIN ST
ROXBORO NC 27573

Officer/Director/Trustee Five

DANIEL CRAIG
INCORPORATOR
141 SEMORA ROAD
ROXBORO NC 27573

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, 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 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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