FORM 1023-EZ for KIWANIS CLUB OF MCDONOUGH COUNTY FOUNDATION

Field Data
EIN 47-1045717
Case Number EO-2015072-000693
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF MCDONOUGH COUNTY FOUNDATION
Organization’s Mailing Address 401 EVERGREEN DRIVE
City MACOMB
State IL
ZIP 61455-9994
Accounting period End 9
Primary contact name WANEEN STOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WANEEN STOUT
AGENT/BOARD MEMBER
401 EVERGEEN DRIVE
MACOMB IL 61455-9994

Officer/Director/Trustee Two

NANCY HILL
ASST. SECRETARY/BOARD MEMBER
900 EAST JEFFERSON
MACOMB IL 61455-9994

Officer/Director/Trustee Three

JACQUELINE FOXALL
VP/BOARD MEMBER
1027 EAST ASH STREET
MACOMB IL 61455-9994

Officer/Director/Trustee Four

PATRICK STOUT
PRESIDENT/BOARD MEMBER
401 EVERGREEN DRIVE
MACOMB IL 61455-9994

Officer/Director/Trustee Five

MARY HANEY
BOARD MEMBER
406 PINE CREST DRIVE
MACOMB IL 61455-9994

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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