FORM 1023-EZ for ROTARY DISTRICT 6380 CHARITABLE ORGANIZATION

Field Data
EIN 87-0967644
Case Number EO-2021207-000576
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROTARY DISTRICT 6380 CHARITABLE ORGANIZATION
Organization’s Mailing Address PO BOX 349
City FOWLERVILLE
State MI
ZIP 48836
Accounting period End 6
Primary contact name DIANA ROMSEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA TIPTON
PRESIDENT
5655 GRIFFITH DR
BRIGHTON MI 48116

Officer/Director/Trustee Two

NAVE GREWEL
VICE-PRESIDENT
1440 GLASS LAKE
OXFORD MI 48371

Officer/Director/Trustee Three

CYNTHIA HILL
SECRETARY
3465 HIDDEN OAKS LANE
WEST BLOOMFIELD MI 48324

Officer/Director/Trustee Four

DIANA ROMSEK
TREASURER
5011 SPRUCEVIEW LANE
FOWLERVILLE MI 48836

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - 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 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 DIANA ROMSEK
Signature Title TREASURER
Signature Date 7/24/2021

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