FORM 1023-EZ for GREATER PALM HARBOR KIWANIS FOUNDATION INC

Field Data
EIN 83-2870958
Case Number EO-2019101-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREATER PALM HARBOR KIWANIS FOUNDATION INC
Organization’s Mailing Address P O BOX 415
City PALM HARBOR
State FL
ZIP 34682-415
Accounting period End 9
Primary contact name ELINOR FOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA HARRISON
PRESIDENT
775 WILD OAK LANE
PALM HARBOR FL 34683

Officer/Director/Trustee Two

JESSICA HECK
VICE PRESIDENT
492 WESTFORD CIRCLE
PALM HARBOR FL 34683

Officer/Director/Trustee Three

KAREN KENT
SECRETARY
2026 CINDY CIRCLE
PALM HARBOR FL 34683

Officer/Director/Trustee Four

ALANA MAUS
TREASURER
1504 MERLOT COURT
OLDSMAR FL 34677

Officer/Director/Trustee Five

ELINOR FOX
DIRECTOR
1455 RIDGELANE RD
CLEARWATER FL 33755

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 ELINOR FOX
Signature Title DIRECTOR
Signature Date 4/9/19

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