FORM 1023-EZ for KIWANIS CLUB OF SOUTHINGTON FOUNDATION

Field Data
EIN 81-6543199
Case Number EO-2016152-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF SOUTHINGTON FOUNDATION
Organization’s Mailing Address PO BOX 372
City SOUTHINGTON
State CT
ZIP 06489
Accounting period End 12
Primary contact name THOMAS P LANGDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEVERLY SKINNON
TRUSTEE
PO BOX 372
SOUTHINGTON CT 06489

Officer/Director/Trustee Two

SHIRLEY DEPAULO
TRUSTEE
PO BOX 372
SOUTHINGTON CT 06489

Officer/Director/Trustee Three

ROBERT POIRIER
TRUSTEE
PO BOX 372
SOUTHINGTON CT 06489

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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
Signature Title
Signature Date

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