FORM 1023-EZ for KIWANIS CLUB OF MADISON INC

Field Data
EIN 59-1786436
Case Number EO-2015135-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF MADISON INC
Organization’s Mailing Address P O BOX 8
City MADISON
State FL
ZIP 32341-0008
Accounting period End 9
Primary contact name MARY ANN SANDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PRESTON MATHEWS
PRESIDENT
627 NE MADISON BLUFFS WAY
LEE FL 32059

Officer/Director/Trustee Two

MARY ANN SANDERS
TREASURER
230 SW MEETING AVE
MADISON FL 32340-1919

Officer/Director/Trustee Three

DEENA HAMES
SECRETARY
799 NW COACHWHIP AVE
MADISON FL 32340-3913

Officer/Director/Trustee Four

ALLEN CHERRY
DIRECTOR
2133 NE CATTAIL DR
MADISON FL 32340-5723

Officer/Director/Trustee Five

ROY ELLIS
DIRECTOR
6156 SE FARM RD
LEE FL 32059-5730

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/1994
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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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