FORM 1023-EZ for ROTARY CLUB OF ARCATA COMMUNITY FOUNDATION

Field Data
EIN 47-2909432
Case Number EO-2015033-000475
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF ARCATA COMMUNITY FOUNDATION
Organization’s Mailing Address P O BOX 4274
City ARCATA
State CA
ZIP 95518-4274
Accounting period End 6
Primary contact name GENE A EKLUND CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN MCCARTHY
PRESIDENT
385 PELICAN POUCH CT
EUREKA CA 95503

Officer/Director/Trustee Two

C J RALPH
VICE PRESIDENT
7000 LANPHERE ROAD
ARCATA CA 95521

Officer/Director/Trustee Three

ROBIN BAILIE
TREASURER
6185 MARGE CT
EUREKA CA 95503

Officer/Director/Trustee Four

MARISA ST JOHN
SECRETARY
P O BOX 898
BLUE LAKE CA 95525

Officer/Director/Trustee Five

MEREDITH HYLAND
PAST PRESIDENT
1930 HAEGER AVE
ARCATA CA 95521

Organization’s website ARCATAROTARY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 Yes
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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