FORM 1023-EZ for KIWANIS CLUB OF CYNTHIANA

Field Data
EIN 61-6028811
Case Number EO-2015064-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF CYNTHIANA
Organization’s Mailing Address 2120 ROBINSON ROAD
City CYNTHIANA
State KY
ZIP 41031-5141
Accounting period End 12
Primary contact name ROBBIE MORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT MORRIS
PRESIDENT
2120 ROBINSON ROAD
CYNTHIANA KY 41031-5141

Officer/Director/Trustee Two

GEORGE BRADFORD
PRESIDENT-ELECT
101 TOLLIVER LANE
CYNTHIANA KY 41031-1642

Officer/Director/Trustee Three

CAROLE GARRETT
TREASURER
583 KY HWY 1842W
CYNTHIANA KY 41031-5679

Officer/Director/Trustee Four

JANICE MAYBRIAR
SECRETARY
3828 KY HWY 36E
CYNTHIANA KY 41031-7405

Officer/Director/Trustee Five

KENDRA SKIDMORE
BOARD MEMBER
246 WILSON AVENUE
CYNTHIANA KY 41031-2330

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/1958
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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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