FORM 1023-EZ for BROOKLYN CENTER ROTARY FOUNDATION

Field Data
EIN 41-1881065
Case Number EO-2018218-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKLYN CENTER ROTARY FOUNDATION
Organization’s Mailing Address 6550 MCKINLEY ST NE
City FRIDLEY
State MN
ZIP 55432-4735
Accounting period End 6
Primary contact name CATHY BALLOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM AGNES
PRESIDENT
12228 NAPLES ST N
BLAINE MN 55449-5872

Officer/Director/Trustee Two

LEE GATLIN
VICE PRESIDENT
3319 EDINBROOKE COURT
BROOKLYN PARK MN 55443-1720

Officer/Director/Trustee Three

CATHY BALLOTT
SECRETARY TREASURER
6550 MCKINLEY ST NE
FRIDLEY MN 55432-4735

Officer/Director/Trustee Four

BYRON LAHER
MEMBER
8890 MONTEGUE TERRACE
BROOKLYN PARK MN 55443-3730

Officer/Director/Trustee Five

JEFF JAEGER
MEMBER
13015 44TH AVE N
PLYMOUTH MN 55442-2608

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/97
Organization Incorporation State MN
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: 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BYRON LAHER
Signature Title MEMBER
Signature Date 8/1/18

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