FORM 1023-EZ for DOUGLAS ROTARY LIGHT THE D

Field Data
EIN 84-4974203
Case Number EO-2020066-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUGLAS ROTARY LIGHT THE D
Organization’s Mailing Address 720 11TH ST
City DOUGLAS
State AZ
ZIP 85607-2241
Accounting period End 12
Primary contact name DAVID B RABER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID RABER
SECRETARY
3515 W RANCH DR
MCNEAL AZ 85617-9505

Officer/Director/Trustee Two

KRISINE GOMEZ
TREASURER
720 11TH ST
DOUGLAS AZ 85607-2241

Officer/Director/Trustee Three

JAYNETTE RABER
PRESIDENT
3515 W RANCH DR
MCNEAL AZ 85617-9505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 DAVID RABER
Signature Title SECRETARY
Signature Date 3/4/2020

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