FORM 1023-EZ for KIWANIS OF JONESBOROUGH FOUNDATION

Field Data
EIN 62-6047686
Case Number EO-2014245-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS OF JONESBOROUGH FOUNDATION
Organization’s Mailing Address PO BOX 826
City JONESBOROUGH
State TN
ZIP 37659
Accounting period End 9
Primary contact name JACK VAN ZANDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD KNIGHT
PRESIDENT
41 OLIVIA CT
JONESBOROUGH TN 37659

Officer/Director/Trustee Two

GLENN WALKER
PRESIDENT ELECT
807 BAYLESS RD
JONESBOROUGH TN 37659

Officer/Director/Trustee Three

EDWARD WOLFF
VICE PRESIDENT
1103 MILLER DR
JONESBOROUGH TN 37659

Officer/Director/Trustee Four

JACK VAN ZANDT
TREASURER
301 PAYNE LANE
JONESBOROUGH TN 37659

Officer/Director/Trustee Five

NOAH BEEBER
SECRETARY
408 E WATAUGA AVE APT 7
JOHNSON CITY TN 37601

Organization’s website WWW.KIWANISOFJONESBOROUGH.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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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