FORM 1023-EZ for LEXINGTON ROTARY CLUB FOUNDATION

Field Data
EIN 47-5142687
Case Number EO-2015286-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEXINGTON ROTARY CLUB FOUNDATION
Organization’s Mailing Address 160 KENDALL DR APT 1017
City LEXINGTON
State VA
ZIP 24450-1792
Accounting period End 6
Primary contact name JAMES SLACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEREK CARTER
PRESIDENT
802 SUNSET AV
LEXINGTON VA 24450

Officer/Director/Trustee Two

HENRY RAVENHORST
VICE PRESIDENT
19 SOUTH MAIN ST
LEXINGTON VA 24450

Officer/Director/Trustee Three

JULIE GOYETTE
SECRETARY
1060 POPLAR HILL RD
LEXINGTON VA 24450

Officer/Director/Trustee Four

JOHN TUCKER
TREASURER
160 KENDAL DR APT 1017
LEXINGTON VA 24450

Officer/Director/Trustee Five

SCOTT RISSER
PAST PRESIDENT
195 CHERRY RIDGE RD
LEXINGTON VA 24450

Organization’s website N/A
Organization’s email JANDATUCKER@KALEXRES.KENDAL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2015
Organization Incorporation State VA
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 No
One Third Support Gifts Yes
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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