FORM 1023-EZ for BIXBY ROTARY CLUB CHARITABLE FOUNDATION INC

Field Data
EIN 84-2118879
Case Number EO-2019176-000584
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIXBY ROTARY CLUB CHARITABLE FOUNDATION INC
Organization’s Mailing Address 8902 EAST 100TH PLACE
City TULSA
State OK
ZIP 74133
Accounting period End 6
Primary contact name ROBERT J WEATHERBIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT WEATHERBIE
PRESIDENT
8902 EAST 100 PLACE
TULSA OK 74133

Officer/Director/Trustee Two

KRISTA NICHOLS
TREASURER
3501 NORTH 150 ROAD
BEGGS OK 74421

Officer/Director/Trustee Three

JOHN SAWYER
DIRECTOR
9449 EAST 103RD PLACE
TULSA OK 74133

Officer/Director/Trustee Four

MIKE GATELY
DIRECTOR
144285 SOUTH 50TH EAST AVE
BIXBY OK 74008

Officer/Director/Trustee Five

AMANDA EARSOM
DIRECTOR
14989 SOUTH GRANT STREET
BIXBY OK 74008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 ROBERT WEATHERBIE
Signature Title PRESIDENT
Signature Date 6/22/19

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