FORM 1023-EZ for FOUNTAIN VALLEY ROTARY CHARITABLE ASSOCIATION

Field Data
EIN 47-4293059
Case Number EO-2015173-000044
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNTAIN VALLEY ROTARY CHARITABLE ASSOCIATION
Organization’s Mailing Address 17110 BROOKHURST STREET
City FOUNTAIN VALLEY
State CA
ZIP 92708-3604
Accounting period End 12
Primary contact name STANLEY GIBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARC ECKER
PRESIDENT
10699 EL SONETO AVE
FOUNTAIN VALLEY CA 92708-4801

Officer/Director/Trustee Two

STANLEY GIBBS
VICE PRESIDENT
16165 MT GUSTIN STREET
FOUNTAIN VALLEY CA 92708-1323

Officer/Director/Trustee Three

DAVE OSBORN
CHAIRPERSON
16440 HEMLOCK STREET
FOUNTAIN VALLEY CA 92708-2014

Officer/Director/Trustee Four

JEAN HARDY
SECRETARY
18895 ACACIA STREET
FOUNTAIN VALLEY CA 92708-6501

Officer/Director/Trustee Five

RICHARD ROTH
TREASURER
8821 BAYWOOD DRIVE
HUNTINGTON BCH CA 92646-2613

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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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