FORM 1023-EZ for MELVILLE ROTARY FOUNDATION

Field Data
EIN 11-3405122
Case Number EO-2017172-000155
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MELVILLE ROTARY FOUNDATION
Organization’s Mailing Address 1428 PULASKI RD
City EAST NORTHPORT
State NY
ZIP 11731
Accounting period End 6
Primary contact name PRUDENCE DAURIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY GOING
PRESIDENT
111GENEVA ST
BAYSHORE NY 11706

Officer/Director/Trustee Two

PRUDENCE DAURIA
TREASURER
1428 PULASKI RD
E NORTHPORT NY 11731

Officer/Director/Trustee Three

ROBERTA FEIGENBAUM
SECRETARY
9 AMES PL
HUNTINGTON ST NY 11746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/1997
Organization Incorporation State NY
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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