FORM 1023-EZ for PAGOSA MOUNTAIN MORNING ROTARY CLUBCOMMUNITY SERVICES FUND

Field Data
EIN 82-4270137
Case Number EO-2018037-000087
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAGOSA MOUNTAIN MORNING ROTARY CLUBCOMMUNITY SERVICES FUND
Organization’s Mailing Address PO BOX 1345
City PAGOSA SPRINGS
State CO
ZIP 81147-1345
Accounting period End 6
Primary contact name KEN ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUG SECRIST
PRESIDENT
P O BOX 2166
PAGOSA SPRINGS CO 81147-2166

Officer/Director/Trustee Two

CINDY SCHULTZ
SECRETARY
64 HOLIDAY AVENUE
PAGOSA SPRINGS CO 81147

Officer/Director/Trustee Three

KEN ROGERS
TREASURER
52 TRAPPERS DRIVE
PAGOSA SPRINGS CO 81147-7849

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/18
Organization Incorporation State CO
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 Yes
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 KEN ROGERS
Signature Title TREASURER
Signature Date 2/2/18

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