FORM 1023-EZ for THE ROTARY CLUB OF FILLMORE COMMUNITY FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3628500 |
| Case Number | EO-2019071-000838 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE ROTARY CLUB OF FILLMORE COMMUNITY FOUNDATION |
| Organization’s Mailing Address | PO BOX 175 |
| City | FILLMORE |
| State | CA |
| ZIP | 93015 |
| Accounting period End | 12 |
| Primary contact name | ANDY KLITTICH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANDY KLITTICH
CHAIRMAN
957 3RD STREET
FILLMORE CA 93015
Officer/Director/Trustee Two
KYLE WILSON
VICE CHARIMAN
220 ENSENADA AVE
THOUSAND OAKS CA 91320
Officer/Director/Trustee Three
SCOTT BEYLIK
TREASURER
1796 OLD TELEGRAPH ROAD
FILLMORE CA 93015
Officer/Director/Trustee Four
DAVID WAREHAM
DIRECTOR
810 CENTRAL AVE
FILLMORE CA 93015
Officer/Director/Trustee Five
CINDY BLATT
SECRETARY
1186 OAK AV
FILLMORE CA 93015
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/21/19 |
| Organization Incorporation State | CA |
| 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: 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 | Yes |
| 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 | 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 | ANDY KLITTICH |
| Signature Title | CHAIRMAN |
| Signature Date | 3/10/19 |
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