FORM 1023-EZ for TUBAC ROTARY CLUB FOUNDATION INC

Field Data
EIN 81-0967372
Case Number EO-2016006-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TUBAC ROTARY CLUB FOUNDATION INC
Organization’s Mailing Address PO BOX 4564
City TUBAC
State AZ
ZIP 85646-4564
Accounting period End 6
Primary contact name PATRICIA THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN CLARK-TAYLOR
PRESIDENT
73 AVENIDA DE OTERO
TUBAC AZ 85646-4823

Officer/Director/Trustee Two

DONALD LAMBERT
TREASURER
21 W CALLE LECHO
GREEN VALLEY AZ 85622

Officer/Director/Trustee Three

THOMAS MADDOCK
SECRETARY
PO BOX 4908
TUBAC AZ 85646-4908

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, 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 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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