FORM 1023-EZ for KAYSVILLE ROTARY 501C3

Field Data
EIN 47-1697393
Case Number EO-2014261-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KAYSVILLE ROTARY 501C3
Organization’s Mailing Address 93 S MAIN ST 4
City KAYSVILLE
State UT
ZIP 84037
Accounting period End 12
Primary contact name CHARLES NOPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER BAUCO
DIRECTOR
93 S MAIN ST 4
KAYSVILLE UT 84037

Officer/Director/Trustee Two

ADAM WILLS
DIRECTOR
93 S MAIN ST 4
KAYSVILLE UT 84037

Officer/Director/Trustee Three

JEFFERY KNIGHT
DIRECTOR
93 S MAIN ST 4
KAYSVILLE UT 84037

Organization’s website KAYSVILLEROTARY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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