FORM 1023-EZ for BIG WEST ROTARACT FOUNDATION

Field Data
EIN 83-4552925
Case Number EO-2019130-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIG WEST ROTARACT FOUNDATION
Organization’s Mailing Address 2570 N 1ST ST STE 200
City SAN JOSE
State CA
ZIP 95131-1037
Accounting period End 12
Primary contact name TAYLOR LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANEL BREEN
DIRECTOR
3455 GOLF DRIVE
SAN JOSE CA 95127-1109

Officer/Director/Trustee Two

TAYLOR LEE
DIRECTOR
308 PHEASANT RUN DRIVE
DANVILLE CA 94506-5829

Officer/Director/Trustee Three

MARTIN KLUDJIAN JR
DIRECTOR
5037 MORRIS WAY
FREMONT CA 94536-5620

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 TAYLOR LEE
Signature Title DIRECTOR
Signature Date 5/8/19

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