FORM 1023-EZ for KIWANIS CLUB OF FAIRFIELD PLANTATION-VILLA RICA FOUNDATION INC

Field Data
EIN 85-0979481
Case Number EO-2020139-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF FAIRFIELD PLANTATION-VILLA RICA FOUNDATION INC
Organization’s Mailing Address 265 FAIRFIELD RD
City VILLA RICA
State GA
ZIP 30180-3805
Accounting period End 9
Primary contact name LATHA NARAYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATHA NARAYAN
PRESIDENT, DIRECTOR
265 FAIRFIELD RD
VILLA RICA GA 30180-3805

Officer/Director/Trustee Two

DELMUS WILLIAMS
TREASURER
265 FAIRFIELD RD
VILLA RICA GA 30180-3805

Officer/Director/Trustee Three

BERNARD WEIDENAAR
SECRETARY
265 FAIRFIELD RD
VILLA RICA GA 30180-3805

Officer/Director/Trustee Four

BARRY GARDNER
DIRECTOR
265 FAIRFIELD RD
VILLA RICA GA 30180-3805

Officer/Director/Trustee Five

ROBERT PINCKNEY
DIRECTOR
265 FAIRFIELD RD
VILLA RICA GA 30180-3805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 LATHA NARAYAN
Signature Title PRESIDENT, DIRECTOR
Signature Date 5/15/2020

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