FORM 1023-EZ for KIWANIS CLUB OF BOTETOURT COUNTY CHARITABLE FOUNDATION INC

Field Data
EIN 54-1773243
Case Number EO-2014288-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF BOTETOURT COUNTY CHARITABLE FOUNDATION INC
Organization’s Mailing Address 242 BLUE RIDGE TPK
City FINCASTLE
State VA
ZIP 24090
Accounting period End 9
Primary contact name GARY DUDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES BOLTON
VICE PRESIDENT
1035 ROANOKE RD
DALEVILLE VA 24083

Officer/Director/Trustee Two

GARY DUDLEY
TREASURER
242 BLUE RIDGE TPK
FINCASTLE VA 24090

Officer/Director/Trustee Three

TIMOTHY ALDERMAN
DIRECTOR
814 TAHOE LANE
ROANOKE VA 24019

Officer/Director/Trustee Four

JAMES BUSHONG
DIRECTOR
2141 HOLLY LANE
DALEVILLE VA 24083-2627

Officer/Director/Trustee Five

HIWATHA NICELY
DIRECTOR
609 ASHLEY WAY
DALEVILLE VA 24083

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/1994
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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