FORM 1023-EZ for AMES TOWN AND COUNTRY KIWANIS FOUNDATION

Field Data
EIN 42-1524605
Case Number EO-2015220-000021
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMES TOWN AND COUNTRY KIWANIS FOUNDATION
Organization’s Mailing Address 2117 PHILADELPHIA STREET SUITE 100
City AMES
State IA
ZIP 50010
Accounting period End 12
Primary contact name DONALD ERICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD ERICKSON
TREASURER
2117 PHILADELPHIA STREET SUITE 100
AMES IA 50010

Officer/Director/Trustee Two

DONALD BEITZ
SECRETARY
2719 NORTHRIDGE CIRLE
AMES IA 50014

Officer/Director/Trustee Three

DEAN HOWARTH
PRESIDENT
2852 N 500TH
AMES IA 50014

Officer/Director/Trustee Four

RANDY GRIFFITH
VICE PRESIDENT
1601 AMHERST DRIVE
AMES IA 50014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2001
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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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