FORM 1023-EZ for KINGS MOUNTAIN ROTARY FOUNDATION INC

Field Data
EIN 47-4718650
Case Number EO-2016011-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KINGS MOUNTAIN ROTARY FOUNDATION INC
Organization’s Mailing Address P O BOX 1028
City KINGS MOUNTAIN
State NC
ZIP 28086
Accounting period End 12
Primary contact name MARY GRACE KELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY GRACE KELLER
EXECUTIVE DIRECTOR
P O BOX 1028
KINGS MOUNTAIN NC 28086

Officer/Director/Trustee Two

SUZANNE AMOS
PRESIDENT
241 S BATTLEGROUND AVE
KINGS MOUNTAIN NC 28086

Officer/Director/Trustee Three

WENDY ISBELL
VICE PRESIDENT
P O BOX 491
KINGS MOUNTAIN NC 28086

Officer/Director/Trustee Four

ANNA LINEBERGER
TREASURER
P O BOX 491
KINGS MOUNTAIN NC 28086

Officer/Director/Trustee Five

BIANCA MUELLER
SECRETARY
P O BOX 491
KINGS MOUNTAIN NC 28086

Organization’s website N/A
Organization’s email KMROTARYFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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