FORM 1023-EZ for SHADES VALLEY ROTARY CHARITABLE FOUNDATION

Field Data
EIN 47-4895187
Case Number EO-2015278-000435
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHADES VALLEY ROTARY CHARITABLE FOUNDATION
Organization’s Mailing Address 4722 SHADY WATERS LANE
City BIRMINGHAM
State AL
ZIP 35243
Accounting period End 6
Primary contact name BILL ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES KEITH SIDES
CHAIRMAN
4722 SHADY WATERS LANE
BIRMINGHAM AL 35243-2634

Officer/Director/Trustee Two

JOHN W PORTER
SECRETARY
3200 ARBOR HILL TRACE
BIRMINGHAM AL 35244

Officer/Director/Trustee Three

WILLIAM H ROSS
TREASURER
1 PORTOFINO DRIVE UNIT 907
PENSACOLA BEACH FL 32561

Officer/Director/Trustee Four

JACOB IRWIN
DIRECTOR
5653 S SHADES CREST DR
BESSEMER AL 35022

Officer/Director/Trustee Five

DAVID PUTMAN
DIRECTOR
2036 ROYAL CREST DR
VESTAVIA HILLS AL 35216

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2015
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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
Signature Title
Signature Date

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