FORM 1023-EZ for OLDSMAR FLORIDA ROTARY CHARITIES INC

Field Data
EIN 47-1302459
Case Number EO-2015049-000093
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLDSMAR FLORIDA ROTARY CHARITIES INC
Organization’s Mailing Address PO BOX 1372
City OLDSMAR
State FL
ZIP 34677-1323
Accounting period End 6
Primary contact name JOHN M MULVIHILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL BURROUGHS
PRESIDENT
2861 SABER DRIVE
C FL 33759

Officer/Director/Trustee Two

KIM ELLENOR
TREASURER
29750 US HWY 19 NORTH
CLEARWATER FL 33761

Officer/Director/Trustee Three

KENNETH DYE
SECRETARY
3432 SR 580 UNIT 304
SAFETY HARBOR FL 34695

Officer/Director/Trustee Four

HIEP TANG
VICE PRESIDENT
2725 MEADOWOOD DRIVE
NEW PORT RICHEY FL 34655

Officer/Director/Trustee Five

JOHN MULVIHILL
EXECUTIVE SECRETARY/DIRECTOR
16305 COLWOOD DRIVE
ODESSA FL 33556-2811

Organization’s website
Organization’s email MULVIHILLJMROTARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
Organization Incorporation State FL
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
Signature Title
Signature Date

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