FORM 1023-EZ for KIWANIS CLUB OF ROCK HILL KIWANIS FOUNDATION

Field Data
EIN 47-3766129
Case Number EO-2015243-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF ROCK HILL KIWANIS FOUNDATION
Organization’s Mailing Address PO BOX 3442
City ROCK HILL
State SC
ZIP 29732
Accounting period End 9
Primary contact name R BRENT THOMPKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICHARD THOMPKINS
PRESIDENT AND BOARD MEMBER
1458 JACK WHITE DR
ROCK HILL SC 29732

Officer/Director/Trustee Two

NATHAN BRINKLEY
PRESIDENT ELECT AND BOARD MEMBER
6347 SAINT STEPHEN LANE
CHALOTTE NC 28210

Officer/Director/Trustee Three

ANN TERRY
SECRETARY AND TREASURER
4882 STONERIDGE RD
CATAWBA SC 29704

Officer/Director/Trustee Four

WENDI SMITH
VICE-PRESIDENT AND BOARD MEMBER
316 FISCHER RD
FORT MILL SC 29715

Officer/Director/Trustee Five

CHAD SIMPSON
PAST PRESIDENT AND BOARD MEMBER
1068 WENDY RD
ROCK HILL SC 29732

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2015
Organization Incorporation State SC
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: 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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