FORM 1023-EZ for EAST MOLINE-SILVIS KIWANIS FOUNDATION

Field Data
EIN 82-1215044
Case Number EO-2017137-000382
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST MOLINE-SILVIS KIWANIS FOUNDATION
Organization’s Mailing Address 222 CLIFF DRIVE
City SILVIS
State IL
ZIP 61282
Accounting period End 10
Primary contact name WILLIAM ROBERT SIESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM SIESS
PRESIDENT CHAIRPERSON
222 CLIFF DRIVE
SILVIS IL 61282

Officer/Director/Trustee Two

DALE FEHR
TREASURER
85 KENNELWORTH CIRCLE
HAMPTON IL 61256

Officer/Director/Trustee Three

KRIS VYNCKE
SECRETARY
1220 20TH AVE WAY
EAST MOLINE IL 61244

Officer/Director/Trustee Four

TED GRAFF
VICE PRESIDENT
4 EAGLE POINT LANE
PORT BYRON IL 61275

Officer/Director/Trustee Five

STEVE PAPPAS
PRESIDENT ELECT
3916 5TH STREET
EAST MOLINE IL 61244

Organization’s website HTTP://WWW.EASTMOLINESILVISKIWANIS.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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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