FORM 1023-EZ for BOZEMAN ROTARY FOUNDATION

Field Data
EIN 47-4030982
Case Number EO-2016138-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOZEMAN ROTARY FOUNDATION
Organization’s Mailing Address PO BOX 6133
City BOZEMAN
State MT
ZIP 59771-6133
Accounting period End 6
Primary contact name RIC TIEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACKIE VICK
PRESIDENT
529 S BLACK AVE
BOZEMAN MT 59715-5301

Officer/Director/Trustee Two

BRIAN AYERS
VICE PRESIDENT
6353 DELTA DR
MANHATTAN MT 59741-8427

Officer/Director/Trustee Three

KRIS NIXON
SECRETARY
3108 OLIVER ST
BOZEMAN MT 59718-6066

Officer/Director/Trustee Four

STACY BATESON
TREASURER
4060 S 3RD
BOZEMAN MT 59715-9202

Officer/Director/Trustee Five

RICHARD TIEMAN
PAST PRESIDENT
32786 FRONTAGE RD
BOZEMAN MT 59715-8613

Organization’s website N/A
Organization’s email RIC.TIEMAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2015
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
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 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 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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