FORM 1023-EZ for ROTARY DISTRICT 5930 YOUTH EXCHANGE

Field Data
EIN 26-1196939
Case Number EO-2017009-000522
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY DISTRICT 5930 YOUTH EXCHANGE
Organization’s Mailing Address PO BOX 1091
City BILLINGS
State MT
ZIP 59103-1091
Accounting period End 6
Primary contact name MICHAEL MAYOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALINDA SHAFMAN
DISTRICT GOVERNOR
143 RIVER BUTTE DR
COLUMBIA FALLS MT 59912

Officer/Director/Trustee Two

DARYL HANSEN
PRESIDENT
PO BOX 141
LIVINGSTON MT 59047

Officer/Director/Trustee Three

MICHAEL MAYOTT
TREASURER
2424 LOCUST STREET
BILLINGS MT 59101

Officer/Director/Trustee Four

SHAWNA SECKER
SECRETARY
303 ALDERSON AVE
BILLINGS MT 59101

Officer/Director/Trustee Five

JOE MCBRIDE
DISTRICT GOVERNOR ELECT
197 BANTRY WAY
BUTTE MT 59701

Organization’s website WWW.MONTANAROTARY.ORG
Organization’s email DISTRICT5390TREASURER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2006
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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