FORM 1023-EZ for KIWANIS CLUB OF MIRAMAR-PEMBROKE PINES FOUNDATION

Field Data
EIN 81-5018528
Case Number EO-2018033-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF MIRAMAR-PEMBROKE PINES FOUNDATION
Organization’s Mailing Address 5465 SW 125 TERRACE
City MIRAMAR
State FL
ZIP 33027
Accounting period End 9
Primary contact name ANYOLI FONT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE LOCKHART
PRESIDENT
5465 SW 125 TERRACE
MIRAMAR FL 33027-5487

Officer/Director/Trustee Two

ANYOLI FONT
SECRETARY
5465 SW 125 TERRACE
MIRAMAR FL 33027-5487

Officer/Director/Trustee Three

ROSARIO DOTSON
TREASURER
5465 SW 125 TERRACE
MIRAMAR FL 33027-5487

Officer/Director/Trustee Four

OONA HALL
DIRECTOR
5465 SW 125 TERRACE
MIRAMAR FL 33027-5487

Officer/Director/Trustee Five

ANN LEE
DIRECTOR
5465 SW 125 TERRACE
MIRAMAR FL 33027-5487

Organization’s website WWW.KIWANISMIRAMARPINES.COM
Organization’s email KIWANISMPP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
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 ANYOLI FONT
Signature Title SECRETARY
Signature Date 1/31/18

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