FORM 1023-EZ for SAN GABRIEL ROTARY FOUNDATION

Field Data
EIN 47-5666444
Case Number EO-2015355-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAN GABRIEL ROTARY FOUNDATION
Organization’s Mailing Address PO BOX 253
City SAN GABRIEL
State CA
ZIP 91778
Accounting period End 6
Primary contact name MILES YOSHISATO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MILES YOSHISATO
PRESIDENT
775 BIRCH AVE
UPLAND CA 91786

Officer/Director/Trustee Two

MARY VALENZUELA
TREASURER
1501 EUCLID AVE
SAN GABRIEL CA 91776

Officer/Director/Trustee Three

MICHELLE FRERIDGE
SECRETARY
503 N MICHIGAN AVE
PASADENA CA 91106

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
One Third Support Gifts No
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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