FORM 1023-EZ for ROTARY CLUB OF EMINENCE INC

Field Data
EIN 82-2449900
Case Number EO-2019288-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF EMINENCE INC
Organization’s Mailing Address 1429 HILLSPRING ROAD
City EMINENCE
State KY
ZIP 40019
Accounting period End 12
Primary contact name KEITH A JEFFRIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH JEFFRIES
DIRECTOR
P O BOX 478
NEW CASTLE KY 40050

Officer/Director/Trustee Two

MARY BRYANT
DIRECTOR
1429 HILLSPRING RD
EMINENCE KY 40019

Officer/Director/Trustee Three

KAREN SHANNON
DIRECTOR
322 OLD CARMON RD
CAMPBELLSBURG KY 40011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/17
Organization Incorporation State KY
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 KEITH JEFFRIES
Signature Title DIRECTOR
Signature Date 10/10/19

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