FORM 1023-EZ for SKYLINE LONGMONT KIWANIS FOUNDATION

Field Data
EIN 47-1698210
Case Number EO-2014294-000022
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SKYLINE LONGMONT KIWANIS FOUNDATION
Organization’s Mailing Address 600 LOOMIS COURT
City LONGMONT
State CO
ZIP 80501
Accounting period End 12
Primary contact name BARRY SERLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARRY SERLIS
DIRECTOR, PRESIDENT
600 LOOMIS COURT
LONGMONT CO 80501

Officer/Director/Trustee Two

DAN VONALT
DIRECTOR, TREASURER
245 MAIN STREET
LONGMONT CO 80501

Officer/Director/Trustee Three

SCOTT NIX
DIRECTOR, SECRETARY
1821 BOSTON AVENUE
LONGMONT CO 80503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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