FORM 1023-EZ for ROTARY CLUB OF BROOKHAVEN-LINCOLN COUNTY

Field Data
EIN 27-1417468
Case Number EO-2016071-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF BROOKHAVEN-LINCOLN COUNTY
Organization’s Mailing Address PO BOX 3375
City BROOKHAVEN
State MS
ZIP 39603
Accounting period End 11
Primary contact name CATHY BRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STAN FOSTER
PRESIDENT
PO BOX 539
BROOKHAVEN MS 39601

Officer/Director/Trustee Two

TRAVIS WRIGHT
PRESIDENT-ELECT
2607 UNION RD
BROOKHAVEN MS 39601

Officer/Director/Trustee Three

MARK ANDERSON
PAST PRESIDENT
658 NATCHEZ DR NE
BROOKHAVEN MS 39601

Officer/Director/Trustee Four

RICHARD FURR
SECRETARY
PO BOX 83
WESSON MS 39191

Officer/Director/Trustee Five

CATHY BRIDGE
TREASURER
3641 ELMER TRAIL SE
BROOKHAVEN MS 39601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2010
Organization Incorporation State MS
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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