FORM 1023-EZ for ENVIRONMENTAL SUSTAINABILITY ROTARIAN ACTION GROUP INC

Field Data
EIN 81-4245059
Case Number EO-2016326-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENVIRONMENTAL SUSTAINABILITY ROTARIAN ACTION GROUP INC
Organization’s Mailing Address 404 SOUTH BLOUNT STREET UNIT 101
City MADISON
State WI
ZIP 53703
Accounting period End 6
Primary contact name KAREN KENDRICK-HANDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL RIEHEMANN
CHAIR DIRECTOR
7510 HILLCREST AVENUE
MIDDLETON WI 53562

Officer/Director/Trustee Two

CHRISTOPHER PUTTOCK
EXECUTIVE DIRECTOR DIRECTOR
4806 CHEROKEE STREET
COLLEGE PARK MD 20740

Officer/Director/Trustee Three

KAREN KENDRICK-HANDS
DIRECTOR PROJECT CHAIR
404 SOUTH BLOUNT ST UNIT 101
MADISON WI 53703

Officer/Director/Trustee Four

MELISSA MILLS
EXECUTIVE SECRETARY DIRECTOR
1001 NORTH DRIVER STREET
DURHAM NC 27701

Officer/Director/Trustee Five

LAWRENCE HANDS
TREASURER DIRECTOR
404 SOUTH BLOUNT ST UNIT 101
MADISON WI 53703

Organization’s website WWW.ESRAG.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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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