FORM 1023-EZ for DEVILS LAKE ROTARY FOUNDATION

Field Data
EIN 83-1259808
Case Number EO-2018276-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DEVILS LAKE ROTARY FOUNDATION
Organization’s Mailing Address 812 - 3RD ST NE
City DEVILS LAKE
State ND
ZIP 58301-3135
Accounting period End 6
Primary contact name NANCY LUNDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY LUNDON
SECRETARY
812 3RD ST NE
DEVILS LAKE ND 58301

Officer/Director/Trustee Two

NANCY RATZLAFF
TREASURER
4517 HWY 19
DEVILS LAKE ND 58301

Officer/Director/Trustee Three

BOB HATTEN
DIRECTOR
2330 12TH AVE SW
DEVILS LAKE ND 58301

Officer/Director/Trustee Four

ERIN WOOD
PRESIDENT
5249 93RD AVE NE
CRARY ND 58327

Officer/Director/Trustee Five

DAN TRAYNOR
DIRECTOR
310 15TH AVE SE
DEVILS LAKE ND 58301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 NANCY LUNDON
Signature Title SECRETARY
Signature Date 10/1/18

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