FORM 1023-EZ for MIDVALE ROTARY FOUNDATION

Field Data
EIN 83-4234656
Case Number EO-2019093-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDVALE ROTARY FOUNDATION
Organization’s Mailing Address 7000 S COMMERCE PARK DRIVE 108
City MIDVALE
State UT
ZIP 84047-1098
Accounting period End 12
Primary contact name JODIE TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODIE TURNER
DIRECTOR
4053 W 6550 S
TAYLORSVILLE UT 84129-7493

Officer/Director/Trustee Two

DREW ALLEN
DIRECTOR
360 RACE STREET
GRANTSVILLE UT 84029-9238

Officer/Director/Trustee Three

IRVIN BROOKS
DIRECTOR
3225 W STARLITE DRIVE
WEST JORDAN UT 84088-5212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DREW ALLEN
Signature Title DIRECTOR
Signature Date 4/1/19

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