FORM 1023-EZ for ROTARY CLUB OF ROSS VALLEY INC

Field Data
EIN 47-2779201
Case Number EO-2015016-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF ROSS VALLEY INC
Organization’s Mailing Address P O BOX 415
City SAN ANSELMO
State CA
ZIP 94979
Accounting period End 12
Primary contact name DOUGLAS MOORE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDWARD WIGHT
PRESIDENT
24 CARLSON AVENUE
SAN ANSELMO CA 94960

Officer/Director/Trustee Two

JOAN CAPURRO
VICE PRESIDENT
P O BOX 1651
SAN ANSELMO CA 94979

Officer/Director/Trustee Three

NICHOLAS KERRY
TREASURER
115 OAK AVENUE
KENTFIELD CA 94904

Officer/Director/Trustee Four

THOMAS KEATING
SECRETARY
110 FIFTH AVENUE
SAN RAFAEL CA 94904

Officer/Director/Trustee Five

THOMAS VALLEE
DIRECTOR
437 CHRISTOPHER WAY
WINDSOR CA 95492

Organization’s website WWW.ROSSVALEYROTARY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
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 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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