FORM 1023-EZ for KIWANIS CLUB OF MIAMI SHORES - NORTH MIAMI FOUNDATION INC

Field Data
EIN 47-2807792
Case Number EO-2015023-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF MIAMI SHORES - NORTH MIAMI FOUNDATION INC
Organization’s Mailing Address 1060 NE 92 STREET
City MIAMI SHORES
State FL
ZIP 33138-2933
Accounting period End 9
Primary contact name STEPHEN JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAM MICHELS
PRESIDENT
1070 NE 92 STREET
Miami Shores FL 33138-2933

Officer/Director/Trustee Two

ROBERT BAGE
DIRECTOR
776 NE 125 STREET
NORTH MIAMI FL 33161-5654

Officer/Director/Trustee Three

JOHN MACDANIEL
DIRECTOR
157 NE 97 STREET
MIAMI SHORES FL 33138-2332

Officer/Director/Trustee Four

RICHARD CACCAMISE
DIRECTOR
18851 NE 29 AVENUE 407
AVENTURA FL 33180-2824

Officer/Director/Trustee Five

PAUL MAY
DIRECTOR
1222 NE 99 STREET
MIAMI SHORES FL 33138-2643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2015
Organization Incorporation State FL
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 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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