FORM 1023-EZ for THE KIWANIS CLUB OF BOURNE WAREHAM CHARITABLE FOUNDATION INC

Field Data
EIN 82-0903047
Case Number EO-2017083-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KIWANIS CLUB OF BOURNE WAREHAM CHARITABLE FOUNDATION INC
Organization’s Mailing Address 1 HARPERS HOLLOW
City EAST SANDWICH
State MA
ZIP 02537
Accounting period End 9
Primary contact name KATHRYN L BEAN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA SIMMONS
PRESIDENT
3229 CRANBERRY HIGHWAY
WAREHAM MA 02571

Officer/Director/Trustee Two

WILLIAM JENKINS
TREASURER
1 HARPER HOLLOW
EAST SANDWICH MA 02563

Officer/Director/Trustee Three

ELLEANOR WELLOE
DIRECTOR
3B MELVILLE COURT
POCASSET MA 02559

Officer/Director/Trustee Four

WAYNE SPENCER
DIRECTOR
89 SWIFT BEACH ROAD
WAREHAM MA 02571

Officer/Director/Trustee Five

WILLIAM MCCAN
DIRECTOR
7 LITTLE BAY LANE
BUZZARDS BAY MA 02532

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2017
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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