FORM 1023-EZ for HOLLIS BROOKLINE ROTARY FOUNDATION INC

Field Data
EIN 81-4442493
Case Number EO-2016326-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLLIS BROOKLINE ROTARY FOUNDATION INC
Organization’s Mailing Address 6 ASH ST
City HOLLIS
State NH
ZIP 03049
Accounting period End 6
Primary contact name ERIKA CROSS MACDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VENU MANOHAR RAO
PAST PRESIDENT
37 ARBOR LN
HOLLIS NH 03049

Officer/Director/Trustee Two

KRISHNA MANGIPUDI
PRESIDENT
20 SALMON BROOK DR
NASHUA NH 03062

Officer/Director/Trustee Three

JULIANA ROWLAND
VICE PRESIDENT
10 FIELDSTONE DR
HOLLIS NH 03049

Officer/Director/Trustee Four

ERIKA CROSS MACDONALD
TREASURER
66-3 TRUELL RD
HOLLIS NH 03049

Officer/Director/Trustee Five

ELLEN WALKER
CLERK
53 PIERCE LN
HOLLIS NH 03049

Organization’s website WWW.HBROTARY.COM
Organization’s email INFO@HBROTARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2016
Organization Incorporation State NH
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: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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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