FORM 1023-EZ for KIWANIS CLUB OF MILLBURN NEW JERSEY

Field Data
EIN 46-3297645
Case Number EO-2015026-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF MILLBURN NEW JERSEY
Organization’s Mailing Address 31 NOTTINGHAM ROAD
City SHORT HILLS
State NJ
ZIP 07078
Accounting period End 12
Primary contact name MICHAEL BIRNBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL BIRNBERG
PRESIDENT
2 HAMILTON ROAD
SHORT HILLS NJ 07078

Officer/Director/Trustee Two

KATHLEEN ESTES
VICE PRESIDENT
7 PARK CIRCLE
SHORT HILLS NJ 07078

Officer/Director/Trustee Three

ROXANNE KAM
TREASURER
31 NOTTINGHAM ROAD
SHORT HILLS NJ 07078

Officer/Director/Trustee Four

SUSANA FERNANDEZ
SECRETARY
51 SHORT HILLS CIRCLE UNIT 1A
MILLBURN NJ 07041

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2013
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - 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 No
One Third Support Gifts Yes
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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