FORM 1023-EZ for KIWANIS CLUB OF INVERNESS FLORIDA INC

Field Data
EIN 59-0965875
Case Number EO-2015212-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF INVERNESS FLORIDA INC
Organization’s Mailing Address 424 WEST QUINCE STREET
City HERNANDO
State FL
ZIP 34452-4890
Accounting period End 12
Primary contact name TRAVIS WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS FITZPATRICK
PRESIDENT
37 NORTH BRAEMER DRIVE
INVERNESS FL 34452

Officer/Director/Trustee Two

LYLE DAVIS
VICE PRESIDENT
319 EDISON STREET
INVERNESS FL 34452

Officer/Director/Trustee Three

NANCY BOUDREA
SECRETARY
3630 JONAH PL
INVERNESS FL 34452

Officer/Director/Trustee Four

DAVID MONIER
TREASURER
104 WEST VINE STREET
INVERNESS FL 34452

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/1985
Organization Incorporation State FL
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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