FORM 1023-EZ for HARBOR COUNTRY ROTARY FOUNDATION

Field Data
EIN 84-4964685
Case Number EO-2020076-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARBOR COUNTRY ROTARY FOUNDATION
Organization’s Mailing Address PO BOX 12
City THREE OAKS
State MI
ZIP 49128
Accounting period End 6
Primary contact name DAVID STEVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID STEVENSON
PRESIDENT, DIRECTOR
PO BOX 12
THREE OAKS MI 49128

Officer/Director/Trustee Two

ALLAN KAYLER
SECRETARY, DIRECTOR
PO BOX 12
THREE OAKS MI 49128

Officer/Director/Trustee Three

DARLEEN HEEMSTRA
TREASURER, DIRECTOR
PO BOX 12
THREE OAKS MI 49128

Officer/Director/Trustee Four

GEORGE GORMLEY
DIRECTOR
PO BOX 12
THREE OAKS MI 49128

Officer/Director/Trustee Five

LESLIE WOOD
DIRECTOR
PO BOX 12
THREE OAKS MI 49128

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 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 STEVENSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/13/2020

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