FORM 1023-EZ for ROTARY CLUB OF LAND O LAKES CHARITIES INC

Field Data
EIN 85-1016676
Case Number EO-2020139-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF LAND O LAKES CHARITIES INC
Organization’s Mailing Address 3926 ROUND TABLE CT
City LAND O LAKES
State FL
ZIP 34638
Accounting period End 5
Primary contact name JIM ENGELMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDY GRAVES
PRESIDENT
21946 SHAMU DR
LAND O LAKES FL 34639

Officer/Director/Trustee Two

RICHARD BUZZEE
VICE PRESIDENT
2821 BANYAN HILL LN
LAND O LAKES FL 34639

Officer/Director/Trustee Three

TERRI DUSEK
SECRETARY
22807 ROBINS NEST CT
LAND O LAKES FL 34639

Officer/Director/Trustee Four

BOB SCHLEYER
TREASURER
9138 FAIRWAY LOOP
DADE CITY FL 33525

Officer/Director/Trustee Five

JIM ENGELMANN
DIRECTOR
3926 ROUND TABLE CT
LAND O LAKES FL 34638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
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 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 JIM ENGELMANN
Signature Title DIRECTOR
Signature Date 5/14/2020

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