FORM 1023-EZ for ROTARY CLUB OF WOODSTOCK CHARITABLEFOUNDATION INC

Field Data
EIN 81-1291670
Case Number EO-2016208-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF WOODSTOCK CHARITABLEFOUNDATION INC
Organization’s Mailing Address PO BOX 456
City WOODSTOCK
State GA
ZIP 30188
Accounting period End 12
Primary contact name DAVID RATNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID RATNER
CHAIR
107 GOLD LEAF CT
CANTON GA 30114

Officer/Director/Trustee Two

JASON LINGERFELT
VICE-CHAIR
1700 RIVERPARK BLVD STE104
WOODSTOCK GA 30188

Officer/Director/Trustee Three

GEORGE BEYLOUNY
SECRETARY
PO BOX 456
WOODSTOCK GA 30188

Officer/Director/Trustee Four

WAYNE MOSS
TREASURER
PO BOX 456
WOODSTOCK GA 30188

Officer/Director/Trustee Five

ADAM SMITH
TRUSTEE
200 PARKWAY 575
WOODSTOCK GA 30188

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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