FORM 1023-EZ for HILLCREST ROTARY CLUB FOUNDATION

Field Data
EIN 34-1523821
Case Number EO-2015194-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILLCREST ROTARY CLUB FOUNDATION
Organization’s Mailing Address 4202 MAYFIELD RD
City SO EUCLID
State OH
ZIP 44121
Accounting period End 6
Primary contact name MICHAEL JOHNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALEXANDRA JEANBLANC
PRESIDENT
725 OAKWOOD
MAYFIELD VILLAGE OH 44040

Officer/Director/Trustee Two

CHRIS ADAMS
PAST PRES
5159 STEVENSON ST
RICHMOND HTS OH 44043

Officer/Director/Trustee Three

JOSEPH DELIBERO
SECRETARY
1720 CARRIAGE PLACE
GATES MILLS OH 44040

Officer/Director/Trustee Four

MICHAEL JOHNS
TREASURER
1247 YELLOWSTONE RD
CLEVELAND HTS OH 44121

Officer/Director/Trustee Five

TOM MUGRIDGE
TRUSTEE
3990 ELMWOOD
CLEVELAND HTS OH 44121

Organization’s website WWW.HILLCRESTROTARYSUNRIS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/1985
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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