FORM 1023-EZ for ROTARY INTERNATIONAL DISTRICT 6760YOUTH SERVICES

Field Data
EIN 47-5234369
Case Number EO-2016057-000055
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY INTERNATIONAL DISTRICT 6760YOUTH SERVICES
Organization’s Mailing Address BOB HUFFMAN 3925 SANGO RD
City CLARKSVILLE
State TN
ZIP 37043-6708
Accounting period End 6
Primary contact name BOB HUFFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOB HUFFMAN
CHAIR
3925 SANGO RD
CLARKSVILLE TN 37043-6708

Officer/Director/Trustee Two

RON WEATHERSPOON
TREASURER
1517 HWY 47E
DICKSON TN 37055-3071

Officer/Director/Trustee Three

BILL JONES
DIRECTOR
118 SPRING CABIN LN
FRANKLIN TN 37064

Officer/Director/Trustee Four

CHUCK BARNETT
DIRECTOR
PO BOX 1914
GALLATIN TN 37066

Officer/Director/Trustee Five

JAMES L SPRINGER JR
DIRECTOR
3506 HAWTHORNE RIDGE RD
COLUMBIA TN 38401-5991

Organization’s website WWW.RYLA6760.ORG
Organization’s email BOB.HUFFMAN@RYLA6760.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 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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