FORM 1023-EZ for DUNELLEN-GREEN BROOK ROTARY FOUNDATION INC

Field Data
EIN 84-2777400
Case Number EO-2019239-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DUNELLEN-GREEN BROOK ROTARY FOUNDATION INC
Organization’s Mailing Address 319 SOUTH MADISON AVENUE
City DUNELLEN
State NJ
ZIP 8812
Accounting period End 12
Primary contact name WILLIAM ROBINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH SPERA
PRESIDENT
139 FAIRVIEW AVENUE APT 2E
SOMERVILLE NJ 8876

Officer/Director/Trustee Two

SHERRI LEABMAN
VICE-PRESIDENT
43 HAZE WAY
PHILLIPSBURG NJ 8865

Officer/Director/Trustee Three

WILLIAM ROBINS
SECRETARY
319 SOUTH MADISON AVENUE
DUNELLEN NJ 8812

Officer/Director/Trustee Four

NANCY NAGENGAST
TREASURER
11307 CRYSTAL RIDGE DRIVE
WATCHUNG NJ 7069

Officer/Director/Trustee Five

MICHAEL TSAI
TRUSTEE
3 WARREN AVENUE
GREEN BROOK NJ 8812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/19
Organization Incorporation State NJ
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM ROBINS
Signature Title SECRETARY
Signature Date 8/25/19

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