FORM 1023-EZ for PMB ROTARY FOUNDATION TRUST

Field Data
EIN 38-7179212
Case Number EO-2017135-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PMB ROTARY FOUNDATION TRUST
Organization’s Mailing Address PO BOX 833
City SOUTHEASTERN
State PA
ZIP 19399-0833
Accounting period End 12
Primary contact name ANDREW DOHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW DOHAN
TRUSTEE
786 LAUREL LANE
WAYNE PA 19087-2018

Officer/Director/Trustee Two

CAROL ROBINSON
TRUSTEE
143 COLDSTREAM DRIVE
BERWYN PA 19312

Officer/Director/Trustee Three

CARLA CHIEFFO
TRUSTEE
182 ST CLAIR CIRCLE
BERWYN PA 19312

Officer/Director/Trustee Four

MARGARET MAGEE
TRUSTEE
15 OAK KNOLL DRIVE
BERWYN PA 19312

Officer/Director/Trustee Five

CYNTHIA PETTY
TRUSTEE
706 HICKORY LANE
BERWYN PA 19312

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 No
Conducting Activities Outside of United States Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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