FORM 1023-EZ for ROTARY ON THE RIDGE FOUNDATION INC

Field Data
EIN 82-2472339
Case Number EO-2017230-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY ON THE RIDGE FOUNDATION INC
Organization’s Mailing Address 1013 CAMPBELL AVE
City LAKE WALES
State FL
ZIP 33853-4235
Accounting period End 6
Primary contact name CHEVON BACCUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHEVON BACCUS
VICE PRESIDENT
1013 CAMPBELL AVENUE
LAKE WALES FL 33853-4235

Officer/Director/Trustee Two

GIOVANNI FAZZINI
PRESIDENT
10 1ST ST S
LAKE WALES FL 33853

Officer/Director/Trustee Three

TERRI MILLER
DIRECTOR
1106 HIGHLAND PARK DR S
LAKE WALES FL 33898

Officer/Director/Trustee Four

MEGAN GILLIS
DIRECTOR
688 HART LAKE DRIVE
WINTER HAVEN FL 33884

Organization’s website WWW.ROTARYONTHERIDGE.COM
Organization’s email ROTARYONTHERIDGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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