FORM 1023-EZ for KIWANIS CLUB OF LINCOLN FOOTHILLS FOUNDATION

Field Data
EIN 47-4164671
Case Number EO-2015224-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF LINCOLN FOOTHILLS FOUNDATION
Organization’s Mailing Address 112 WALDEN VIEW COURT
City LINCOLN
State CA
ZIP 95648
Accounting period End 9
Primary contact name MICHAEL LUCIANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BETH ROBERTS
PRESIDENT (CEO)
1854 DEEP SPRINGS LN
LINCOLN CA 95648

Officer/Director/Trustee Two

DAR GALAWAY
VICE PRESIDENT
2078 COLDWATER LN
LINCOLN CA 95648

Officer/Director/Trustee Three

MARY LUCIANO
SECRETARY
112 WALDEN VIEW COURT
LINCOLN CA 95648

Officer/Director/Trustee Four

MICHAEL LUCIANO
TREASURER (CFO)
112 WALDEN VIEW COURT
LINCOLN CA 95648

Officer/Director/Trustee Five

RAE COOK
DIRECTOR
827 CARROUSEL CT
LINCOLN CA 95648

Organization’s website WWW.LINCOLNFOOTHILLSKIWANIS.ORG
Organization’s email MICHAEL_LUCIANO@MARCOMADVANTAGE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2015
Organization Incorporation State CA
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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