FORM 1023-EZ for KIWANIS CLUB OF FARMINGTON-VICTOR FOUNDATION INC

Field Data
EIN 47-1753171
Case Number EO-2015224-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF FARMINGTON-VICTOR FOUNDATION INC
Organization’s Mailing Address PO BOX 45
City VICTOR
State NY
ZIP 14564
Accounting period End 9
Primary contact name JEAN LAITENBERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL KAUFFMAN
PRESIDENT
117 KILLDEER LANE
FAIRPORT NY 14450

Officer/Director/Trustee Two

LEO FISHER
1ST VICE PRESIDENT
1042 BROWNSVILLE ROAD
VICTOR NY 14564

Officer/Director/Trustee Three

JOSHUA SOUWEIINE
2ND VICE PRESIDENT
7406 FOREST TRAIL
VICTOR NY 14564

Officer/Director/Trustee Four

LINDA ROBY
SECRETARY
128 EAST JACKSON STREET
PALMYRA NY 14522

Officer/Director/Trustee Five

JEAN LAITENBERGER
TREASURER
77 HILLCREST DRIVE
VICTOR NY 14564

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S03 - Professional Societies, Associations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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