FORM 1023-EZ for GRAND HAVEN ROTARY FOUNDATION INC

Field Data
EIN 83-0574130
Case Number EO-2018150-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAND HAVEN ROTARY FOUNDATION INC
Organization’s Mailing Address 128 COLUMBUS AVENUE
City GRAND HAVEN
State MI
ZIP 49417
Accounting period End 12
Primary contact name BROOK BISONET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY GREER
PRESIDENT
41 WASHINGTON AVENUE
GRAND HAVEN MI 49417

Officer/Director/Trustee Two

CHRIS STRENG
SECRETARY
PO BOX 206
GRAND HAVEN MI 49417

Officer/Director/Trustee Three

MATT LATOR
TREASURER
PO BOX 206
GRAND HAVEN MI 49417

Officer/Director/Trustee Four

BILL VAN LOPIK
ASSISTANT SECRETARY
PO BOX 206
GRAND HAVEN MI 49417

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAY GREER
Signature Title PRESIDENT
Signature Date 5/25/18

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