FORM 1023-EZ for RANDOLPH METROCOM ROTARY CLUB FOUNDATION

Field Data
EIN 81-3230136
Case Number EO-2016319-000552
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RANDOLPH METROCOM ROTARY CLUB FOUNDATION
Organization’s Mailing Address 433 KITTY HAWK ROAD SUITE 210
City UNIVERSAL CITY
State TX
ZIP 78148
Accounting period End 6
Primary contact name JASON W BARGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY FLETCHER
BOARD MEMBER AND PRESIDENT
10924 VANCE JACKSON SUITE 301
SAN ANTONIO TX 78230

Officer/Director/Trustee Two

DAVID SIPPEL
BOARD MEMBER AND TREASURER
1001 PAT BOOKER ROAD SUITE 100
UNIVERSAL CITY TX 78148

Officer/Director/Trustee Three

JASON BARGER
BOARD MEMBER AND SECRETARY
433 KITTY HAWK ROAD SUITE 227
UNIVERSAL CITY TX 78148

Officer/Director/Trustee Four

MARK MOODY
BOARD MEMBER
205 FM 3009
SCHERTZ TX 78154

Officer/Director/Trustee Five

MIKE ISBELL
BOARD MEMBER
9330 CORPORATE DRIVE SUITE 805
SELMA TX 78154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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