FORM 1023-EZ for ROTARY CLUB OF MONTAGUE-WHITEHALL FOUNDATION

Field Data
EIN 82-2143358
Case Number EO-2017258-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF MONTAGUE-WHITEHALL FOUNDATION
Organization’s Mailing Address PO BOX 102
City WHITEHALL
State MI
ZIP 49461
Accounting period End 12
Primary contact name ANDREW FINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY ANDERSON
PRESIDENT
8477 MOHAWK CT
MONTAGUE MI 49437-1351

Officer/Director/Trustee Two

SHARON BLANKENSHIP
TREASURER
11405 RUSSELL RD
TWIN LAKE MI 49457-9469

Officer/Director/Trustee Three

DENNIS SIKKENGA
PRESIDENT ELECT
9691 SIKKENGA RD
MONTAGUE MI 49437-9349

Officer/Director/Trustee Four

FRED BERTSCH III
BOARD MEMBER
10040 SILVER CREEK RD
WHITEHALL MI 49461-9137

Officer/Director/Trustee Five

BETH BEAMAN
SECRETARY
6893 BLANK RD
WHITEHALL MI 49461-9311

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q22 - International Student Exchange and Aid
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 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 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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