FORM 1023-EZ for ALTAMONTE SPRINGS ROTARY FOUNDATION

Field Data
EIN 82-3866723
Case Number EO-2018016-000395
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALTAMONTE SPRINGS ROTARY FOUNDATION
Organization’s Mailing Address 1223 STONE HARBOUR RD
City WINTER SPRINGS
State FL
ZIP 32708
Accounting period End 6
Primary contact name BARRY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY JOHNSON
BOARD MEMBER
1223 STONE HARBOUR ROAD
WINTER SPRINGS FL 32708

Officer/Director/Trustee Two

REBECCA KAUFFMAN
BOARD MEMBER
1301 HOLY GLEN RUN
APOPKA FL 32703

Officer/Director/Trustee Three

TOM WEINARD
BOARD MEMBER
1006 S SWEETWATER BLVD
LONGWOOD FL 32779

Officer/Director/Trustee Four

JENNIFER GRAVLIN
BOARD MEMBER
2401 LAUDER DRIVE
MAITLAND FL 32751

Officer/Director/Trustee Five

LAURA MOFFETT
BOARD MEMBER
1227 LAKE PIEDMONT CIRCLE
APOPKA FL 32703

Organization’s website WWW.ALTAMONTEROTARY.ORG
Organization’s email BARRY@MILLERJOHNSONLAWGROUP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/17
Organization Incorporation State FL
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: 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 No
Correctness Declaration Yes
Signature Name BARRY JOHNSON
Signature Title BOARD MEMBER
Signature Date 1/12/18

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