FORM 1023-EZ for ALEXANDRIA WEST ROTARY FOUNDATION

Field Data
EIN 47-3776149
Case Number EO-2015125-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALEXANDRIA WEST ROTARY FOUNDATION
Organization’s Mailing Address 5240 BESSLEY PLACE
City ALEXANDRIA
State VA
ZIP 22304
Accounting period End 6
Primary contact name JOHN R ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN ALLEN
DIRECTOR
5240 BESSLEY PLACE
ALEXANDRIA VA 22304-8612

Officer/Director/Trustee Two

JOEL D MILLER
DIRECTOR
278 MURTHA STREET
ALEXANDRIA VA 22304-8612

Officer/Director/Trustee Three

JONATHAN LUCUS
DIRECTOR
275 MURTHA STREET
ALEXANDRIA VA 22304-8612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2015
Organization Incorporation State VA
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 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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