FORM 1023-EZ for DODGEVILLE KIWANIS CHARITABLE FUND INC

Field Data
EIN 82-1540578
Case Number EO-2017180-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DODGEVILLE KIWANIS CHARITABLE FUND INC
Organization’s Mailing Address PO BOX 272
City DODGEVILLE
State WI
ZIP 53533
Accounting period End 12
Primary contact name DAVID A MEISTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL JORDAN
PRESIDENT
PO BOX 272
DODGEVILLE WI 53533

Officer/Director/Trustee Two

TERRY EDWARDS
SECRETARY
PO BOX 272
DODGEVILLE WI 53533

Officer/Director/Trustee Three

DAVID MEISTER
TREASURER
1115 ARTHUR LANE
DARLINGTON WI 53530

Officer/Director/Trustee Four

DEB POAD
DIRECTOR
1113 N JOHNS ST
DODGEVILLE WA 53533

Officer/Director/Trustee Five

MARY KAY BAUM
DIRECTOR
PO BOX 272
DODGEVILLE WI 53533

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2017
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth 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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