FORM 1023-EZ for ROTARY CLUB OF LAKE BUENA VISTA FOUNDATION INC

Field Data
EIN 81-4034925
Case Number EO-2016305-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF LAKE BUENA VISTA FOUNDATION INC
Organization’s Mailing Address 8031 OLD TOWN DR
City ORLANDO
State FL
ZIP 32819-3919
Accounting period End 12
Primary contact name JEAN CAMPANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN CAMPANA
DIRECTOR
8031 OLD TOWN DR
ORLANDO FL 32819-3919

Officer/Director/Trustee Two

HARRY BOARDMAN
DIRECTOR
8986 ISLESWORTH CT SW
ORLANDO FL 32819-4819

Officer/Director/Trustee Three

JEFF CALVERT
DIRECTOR
8049 OLD TOWN DR
ORLANDO FL 32819-3919

Officer/Director/Trustee Four

DALE SHENK
DIRECTOR
147 LONGVIEW AVE
CELEBRATION FL 34747-5037

Organization’s website HTTP://ROTARYLBV.ORG/
Organization’s email PRESIDENT@ROTARYLBV.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2016
Organization Incorporation State FL
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: 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 Yes
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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