FORM 1023-EZ for KIWANIS CLUB OF BRENTWOOD

Field Data
EIN 46-4791343
Case Number EO-2014328-000066
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF BRENTWOOD
Organization’s Mailing Address 3001 KODIAK STREET 129
City ANTIOCH
State CA
ZIP 94531
Accounting period End 12
Primary contact name ANGEL LUEVANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARGENTINA DAVILA-LUEVANO
PRESIDENT
3001 KODIAK STREET 129
ANTIOCH CA 94531

Officer/Director/Trustee Two

TOM ONTIS
SECRETARY
226 HEARTHSTONE CIRCLE
OAKLEY CA 94561

Officer/Director/Trustee Three

JOHN JEWELL
TREASURER
2505 WAYFARER
DISCOVERY BAY CA 94505

Officer/Director/Trustee Four

ANGEL LUEVANO
IMMEDIATE PAST PRESIDENT
3001 KODIAK STREET 129
ANTIOCH CA 94531

Organization’s website
Organization’s email AALUEVANO@AOL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2001
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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