FORM 1023-EZ for LEBANON KIWANIS FOUNDATION INC

Field Data
EIN 83-2037310
Case Number EO-2019039-000730
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEBANON KIWANIS FOUNDATION INC
Organization’s Mailing Address 730 TWIN EAGLES LANE
City LEBANON
State KY
ZIP 40033
Accounting period End 12
Primary contact name MICHELLE FARMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE FARMER
PRESIDENT
730 TWIN EAGLES LANE
LEBANON KY 40033

Officer/Director/Trustee Two

NICOLE SMITH
VICE PRESIDENT
259 OLD KY 49
LORETTO KY 40037

Officer/Director/Trustee Three

MISHA WILSON
VICE PRESIDENT
4405 FROGTOWN ROAD
LORETTO KY 40037

Officer/Director/Trustee Four

LIZ LAWSON
TREASURER
1340 HELM SCHOOL ROAD
LEBANON KY 40033

Officer/Director/Trustee Five

ADAM POFF
SECRETARY
1395 OLD CALVARY PIKE
LEBANON KY 40033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 MICHELLE FARMER
Signature Title PRESIDENT
Signature Date 2/5/19

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