FORM 1023-EZ for THE KYRENE ROTARY CLUB FOUNDATION

Field Data
EIN 82-2785674
Case Number EO-2017268-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KYRENE ROTARY CLUB FOUNDATION
Organization’s Mailing Address 1403 W MOUNTAIN SKY AVE
City PHOENIX
State AZ
ZIP 85045
Accounting period End 6
Primary contact name KEN POLLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID KLINE
PRESIDENT, DIRECTOR
8815 S SHANNON DR
TEMPE AZ 85284

Officer/Director/Trustee Two

KEN POLLOCK
SECRETARY, DIRECTOR
4724 E EUCLID AVE
PHOENIX AZ 85044

Officer/Director/Trustee Three

ROBERT FOSTER
TREASURER, DIRECTOR
1403 W MOUNTAIN SKY AVE
PHOENIX AZ 85045

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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