FORM 1023-EZ for SURF CITY ROTARY CLUB INC

Field Data
EIN 84-1808626
Case Number EO-2019154-000461
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURF CITY ROTARY CLUB INC
Organization’s Mailing Address PO BOX 4006
City SURF CITY
State NC
ZIP 28445-4006
Accounting period End 6
Primary contact name DAVID GILBRIDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GILBRIDE
TREASURER
8013 8TH ST
SURF CITY NC 28445-8650

Officer/Director/Trustee Two

ALAN SASSER
PRESIDENT
3067 3RD STREET
SURF CITY NC 28445-8628

Officer/Director/Trustee Three

ELIZABETH HAWTHORNE
SECRETARY
101 HOLIDAY DRIVE
HAMPSTEAD NC 28443-3581

Officer/Director/Trustee Four

JACK BRENT
FOUNDATION CHAIR
53 NORTH RIDGE
SURF CITY NC 28445-6875

Officer/Director/Trustee Five

JEREMY SHUGARTS
DIRECTOR
150 CORNEL LANE
HAMPSTEAD NC 28443-7230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 DAVID GILBRIDE
Signature Title TREASURER
Signature Date 5/31/19

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