FORM 1023-EZ for SALINE ROTARY

Field Data
EIN 47-3096776
Case Number EO-2015119-000384
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALINE ROTARY
Organization’s Mailing Address 111 NORTH ANN ARBOR STREET
City SALINE
State MI
ZIP 48176
Accounting period End 6
Primary contact name JEFF HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID BLOUGH
OFFICER
3021 TEXTILE ROAD
SALINE MI 48176

Officer/Director/Trustee Two

TODD CAMPBELL
OFFICER
100 NORTH HARRIS
SALINE MI 48176

Officer/Director/Trustee Three

KAREN RAGLAND
OFFICER
600 WEST MICHIGAN AVENUE
SALINE MI 48176

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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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