FORM 1023-EZ for ROTARY CLUB OF LAS VEGAS SOUTHWESTFOUNDATION

Field Data
EIN 81-1650174
Case Number EO-2019266-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF LAS VEGAS SOUTHWESTFOUNDATION
Organization’s Mailing Address P O BOX 70126
City LAS VEGAS
State NV
ZIP 89170
Accounting period End 12
Primary contact name REBECCA COLLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL MAISNER
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Two

SEAN TANKP
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Three

ERIC COLVIN
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Four

VERN RATZLAFF
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Five

REBECCA COLLETT
DIRECTOR
1128 BROKEN HILLS DRIVE
HENDERSON NV 89011

Organization’s website
Organization’s email RCCOLLETT@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/16
Organization Incorporation State NV
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: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA COLLETT
Signature Title DIRECTOR
Signature Date 9/20/19
EIN 81-1650174
Case Number EO-2019266-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF LAS VEGAS SOUTHWEST FOUNDATION
Organization’s Mailing Address P O BOX 70126
City LAS VEGAS
State NV
ZIP 89170
Accounting period End 12
Primary contact name REBECCA COLLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL MAISNER
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Two

SEAN TANKP
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Three

ERIC COLVIN
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Four

VERN RATZLAFF
DIRECTOR
P O BOX 70126
LAS VEGAS NV 89170

Officer/Director/Trustee Five

REBECCA COLLETT
DIRECTOR
1128 BROKEN HILLS DRIVE
HENDERSON NV 89011

Organization’s website
Organization’s email RCCOLLETT@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/16
Organization Incorporation State NV
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: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA COLLETT
Signature Title DIRECTOR
Signature Date 9/20/19
EIN 81-1650174
Case Number EO-2016076-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF LAS VEGAS SOUTHWESTFOUNDATION
Organization’s Mailing Address PO BOX 70126 UNIVERSITY STATION
City LAS VEGAS
State NV
ZIP 89170
Accounting period End 12
Primary contact name BRYAN J DZIEDZIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MITCHELL HORST
PRESIDENT
PO BOX 70126 UNIVERSITY STATION
LAS VEGAS NV 89170

Officer/Director/Trustee Two

REBECCA COLLETT
VICE PRESIDENT
PO BOX 70126 UNIVERSITY SATION
LAS VEGAS NV 89170

Officer/Director/Trustee Three

ERIC COLVIN
TREASURER
PO BOX 70126 UNIVERSIETY STATION
LAS VEGAS NV 89170

Officer/Director/Trustee Four

KEITH THOMAS
DIRECTOR
PO BOX 70126 UNIVERSITY STATION
LAS VEGAS NV 89170

Officer/Director/Trustee Five

VERN RATZLAFF
DIRECTOR
PO BOX 70126 UNIVERSITY STATION
LAS VEGAS NV 89170

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2015
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T40 - Voluntarism Promotion
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 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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