FORM 1023-EZ for TRI COUNTY ROTARY CLUB FOUNDATION INC

Field Data
EIN 83-2055355
Case Number EO-2019280-000403
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI COUNTY ROTARY CLUB FOUNDATION INC
Organization’s Mailing Address 1370 SOUTH MAIN ROAD PNB 1162
City VINELAND
State NJ
ZIP 8360
Accounting period End 6
Primary contact name LARRY G DESALVO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE DRUZIAKO
PRESIDENT,TRUSTEE
1716 GARWOOD LANE
VINELAND NJ 8361

Officer/Director/Trustee Two

GERALD COVELLA
PRESIDENT ELECT, TRUSTEE
1639 PERCY LANE
VINELAND NJ 8361

Officer/Director/Trustee Three

NICHOLAS BERNHARDT
PAST PRES, TRUSTEE
4927 PIACENZIA AVENUE
VINELAND NJ 8361

Officer/Director/Trustee Four

ERIN MENDEZ
TRUSTEE
1520 LARCHWOOD LANE
VINELAND NJ 8361

Officer/Director/Trustee Five

PAUA STEWART DAVIS
TRUSTEE
1619 WOODCREST DRIVE
VINELAND NJ 8361

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/18
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building 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 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 MELANIE DRUZIAKO
Signature Title PRESIDENT,TRUSTEE
Signature Date 10/4/19

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