FORM 1023-EZ for KIWANIS CLUB OF SCOTT COUNTY

Field Data
EIN 61-1068133
Case Number EO-2016025-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIWANIS CLUB OF SCOTT COUNTY
Organization’s Mailing Address P O BOX 702
City GEORGETOWN
State KY
ZIP 40324
Accounting period End 9
Primary contact name ANETTE EADES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANETTE EADES
PRESIDENT
122 CHERRY CREEK LANE
GEORGETOWN KY 40324-9613

Officer/Director/Trustee Two

DEBORAH GREEN
SECRETARY/BOARD OF DIRECTOR
156 TREE TOP CT
GEORGETOWN KY 40324

Officer/Director/Trustee Three

JANET ZIEGLER
TREASURER
740 CARRICK PIKE
GEORGETOWN KY 40324-8756

Officer/Director/Trustee Four

TOM COMBS
BOARD OF DIRECTOR
116 APPLE CREEK LANE
GEEORGETOWN KY 40324-8707

Officer/Director/Trustee Five

MARC BAKER
BOARD OF DIRECTOR
108 SOUTHWIND CT
GEORGETOWN KY 40324-9464

Organization’s website SCOTTCOUNTYKIWANISONE.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/1982
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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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