FORM 1023-EZ for FAIRVIEW HEIGHTS KIWANIS CHARITIESFOUNDATION

Field Data
EIN 45-5244295
Case Number EO-2014256-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAIRVIEW HEIGHTS KIWANIS CHARITIESFOUNDATION
Organization’s Mailing Address PO BOX 3064
City FAIRVIEW HEIGHTS
State IL
ZIP 62208
Accounting period End 12
Primary contact name RICHARD ERDMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DORIS DRISCOLL
PRESIDENT
244 OAKRIDGE CT
FAIRVIEW HTS IL 62208

Officer/Director/Trustee Two

JOSHUA FRAWLEY
PRESIDENT ELECT
17 WEINEL DR
FAIRVIEW HTS IL 62208

Officer/Director/Trustee Three

CINDY HILL
SECRETARY
750A FOUNTAIN VIEW
MASCOUTAH IL 62258

Officer/Director/Trustee Four

CHARLES BACK
TREASURER
1 RAVENWOOD
OFALLON IL 62269

Officer/Director/Trustee Five

KIMBERLY ARCHIBALD
VICE PRESIDENT
713A TOWER GROVE DR
FAIRVIEW HTS IL 62208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2011
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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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