FORM 1023-EZ for NORTH DADE ROTARY FOUNDATION

Field Data
EIN 27-1706873
Case Number EO-2017167-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH DADE ROTARY FOUNDATION
Organization’s Mailing Address 1800 NE 114TH STREET SUITE 1608
City NORTH MIAMI
State FL
ZIP 33181
Accounting period End 6
Primary contact name KEITH LINDGREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUIS PEREZ
CHAIRMAN
145 NE 103 STREET
MIAMI SHORES FL 33138

Officer/Director/Trustee Two

HAROLD SIEGEL
PRESIDENT
1800 NE 114 STREET APT 1608
NORTH MIAMI FL 33181

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2010
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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