FORM 1023-EZ for THE ROTARY CLUB OF BURBANK SUNRISE#NAME?

Field Data
EIN 83-4548030
Case Number EO-2019119-000303
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ROTARY CLUB OF BURBANK SUNRISE#NAME?
Organization’s Mailing Address 1317 N SAN FERNANDO BLVD NUMBER 105
City BURBANK
State CA
ZIP 91504
Accounting period End 6
Primary contact name IAN WATERHOUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRANCE SHELTON
CEO
105 TUXFORD ST
SUN VALLEY CA 91352

Officer/Director/Trustee Two

IAN WATERHOUSE
CFO
316 IRVING AVE UNIT 4
GLENDALE CA 91201

Officer/Director/Trustee Three

JANICE LOWERS
SECRETARY
313 NORTH MYERS ST
BURBANK CA 91506

Officer/Director/Trustee Four

LEE STACY
INCORPORATOR
10948 ROSCOE BLVD
SUN VALLEY CA 91352

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/19
Organization Incorporation State CA
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name IAN WATERHOUSE
Signature Title CFO
Signature Date 4/26/19

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