FORM 1023-EZ for ROTARY CLUB OF GRAYSLAKE FOUNDATION

Field Data
EIN 20-8016535
Case Number EO-2017128-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF GRAYSLAKE FOUNDATION
Organization’s Mailing Address PO BOX 886
City GRAYSLAKE
State IL
ZIP 60030
Accounting period End 6
Primary contact name CHRISTOPHER R KARSTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY HERZOG
PRESIDENT
301 MAINSAIL DRIVE
THIRD LAKE IL 60030

Officer/Director/Trustee Two

MICHAEL MARASSA
PAST PRESIDENT
144 LAURIE COURT
GRAYSLAKE IL 60030

Officer/Director/Trustee Three

LYNNE REYNOLDS
SECRETARY
146 BAY VIEW LANE
GRAYSLAKE IL 60030

Officer/Director/Trustee Four

MICHAEL KUKULSKI
TREASURER
1285 HEDGEGROW DRIVE
GRAYSLAKE IL 60030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
Organization Incorporation State IL
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: Yes
Educational: Yes
Scientific: Yes
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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