FORM 1023-EZ for ROTARY CLUB F HARLEM FOUNDATION

Field Data
EIN 84-3029073
Case Number EO-2019284-000642
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROTARY CLUB F HARLEM FOUNDATION
Organization’s Mailing Address 9910 207TH STREET
City QUEENS VILLAGE
State NY
ZIP 11429-1033
Accounting period End 6
Primary contact name DWAYNE NORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAYNE NORRIS
CHAIR
9910 207TH STREET
QUEENS VILLAGE NY 11429-1033

Officer/Director/Trustee Two

TARIK KITSON
VICE PRESIDENT
295 CONVENT AVENUE APT 66
NEW YORK NY 10031

Officer/Director/Trustee Three

SEBRINA TULLOCH
TREASURER
115-07 226TH STREET
CAMBRIA HEIGHTS NY 11411

Officer/Director/Trustee Four

FELICIA LAMPTEY
SECRETARY
164 BEDFORD AVENUE
TEANECK NJ 7666

Organization’s website NA
Organization’s email RCOHFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/19
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DWAYNE NORRIS
Signature Title CHAIR
Signature Date 10/9/19

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