FORM 1023-EZ for EDGERTON WI ROTARY CLUB FOUNDATIONINC

Field Data
EIN 83-2066941
Case Number EO-2018334-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDGERTON WI ROTARY CLUB FOUNDATIONINC
Organization’s Mailing Address PO BOX 143
City EDGERTON
State WI
ZIP 53534
Accounting period End 12
Primary contact name JEFFREY T ROETHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN SADRO
DIRECTOR AND TREASURER
111 W FULTON ST 202
EDGERTON WI 53534

Officer/Director/Trustee Two

STEVE THOMPSON
DIRECTOR AND VICE PRES
3145 W COX RD
EDGERTON WI 53534

Officer/Director/Trustee Three

MARK COOMBS
DIRECTOR
200 ELM HIGH DR
EDGERTON WI 53534

Officer/Director/Trustee Four

JAMES RAYMOND
DIRECTOR AND PRESIDENT
9901 N WALLIN RD
EDGERTON WI 53534

Officer/Director/Trustee Five

RAMONA FLANIGAN
DIRECTOR
12 ALBION ST
EDGERTON WI 53534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES RAYMOND
Signature Title DIRECTOR
Signature Date 11/28/18
EIN 83-2066941
Case Number EO-2018334-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDGERTON WI ROTARY CLUB FOUNDATION INC
Organization’s Mailing Address PO BOX 143
City EDGERTON
State WI
ZIP 53534
Accounting period End 12
Primary contact name JEFFREY T ROETHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN SADRO
DIRECTOR AND TREASURER
111 W FULTON ST 202
EDGERTON WI 53534

Officer/Director/Trustee Two

STEVE THOMPSON
DIRECTOR AND VICE PRES
3145 W COX RD
EDGERTON WI 53534

Officer/Director/Trustee Three

MARK COOMBS
DIRECTOR
200 ELM HIGH DR
EDGERTON WI 53534

Officer/Director/Trustee Four

JAMES RAYMOND
DIRECTOR AND PRESIDENT
9901 N WALLIN RD
EDGERTON WI 53534

Officer/Director/Trustee Five

RAMONA FLANIGAN
DIRECTOR
12 ALBION ST
EDGERTON WI 53534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES RAYMOND
Signature Title DIRECTOR
Signature Date 11/28/18

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