FORM 1023-EZ for THE SINGER ISLAND ROTARY CLUB FOUNDATION INC

Field Data
EIN 81-1488177
Case Number EO-2016125-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SINGER ISLAND ROTARY CLUB FOUNDATION INC
Organization’s Mailing Address 1281 NORTH OCEAN AVE
City RIVIERA BEACH
State FL
ZIP 33404
Accounting period End 12
Primary contact name WILLIAM PINTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WALKER CUSHMAN
DIRECTOR
339 TACOMA LANE
PALM BEACH SHORES FL 33404

Officer/Director/Trustee Two

CHARLES HOROWITZ
DIRECTOR
2383 PROSPERITY BAY COURT
PALM BEACH GARDENS FL 33410

Officer/Director/Trustee Three

AUGUSTINE WINTERS
DIRECTOR
205 E TALL OAKS CIRCLE
PALM BEACH GARDENS FL 33410

Officer/Director/Trustee Four

MYRA KOUTZEN
SECRETARY
125 S OCEAN AVE
PALM BEACH SHORES FL 33404

Officer/Director/Trustee Five

WILLIAM PINTER
TREASURER
5172 PEPPERCORN ST
PALM BEACH GARDENS FL 33418

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2016
Organization Incorporation State FL
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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