FORM 1023-EZ for THE KIWANIS CLUB OF ACADIANA FOUNDATION

Field Data
EIN 47-2177663
Case Number EO-2015027-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KIWANIS CLUB OF ACADIANA FOUNDATION
Organization’s Mailing Address 400 E KALISTE SALOOM RD SUITE 7100
City LAFAYETTE
State LA
ZIP 70508-3293
Accounting period End 9
Primary contact name RICHARD LATIOLAIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIN ROONEY
PRESIDENT
400 E KALISTE SALOOM RD STE 7100
LAFAYETTE LA 70508-3293

Officer/Director/Trustee Two

BILLIE LIS
VICE PRESIDENT
400 E KALISTE SALOOM RD STE 7100
LAFAYETTE LA 70508-3293

Officer/Director/Trustee Three

RUSSEL TRAHAN
SECRETARY
400 E KALISTE SALOOM RD STE 7100
LAFAYETTE LA 70508-3293

Officer/Director/Trustee Four

NANCY HEBERT
TREASURER
400 E KALISTE SALOOM RD STE 7100
LAFAYETTE LA 70508-3293

Officer/Director/Trustee Five

RICHARD LATIOLAIS
DIRECTOR
400 E KALISTE SALOOM RD STE 7100
LAFAYETTE LA 70508-3293

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2014
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development 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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