FORM 1023-EZ for ROTARY INTERNATIONAL CLARKSVILLE TNSUNSET ROTARY CLUB

Field Data
EIN 46-1023769
Case Number EO-2015156-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY INTERNATIONAL CLARKSVILLE TNSUNSET ROTARY CLUB
Organization’s Mailing Address PO BOX 3193
City CLARKSVILLE
State TN
ZIP 37043-3193
Accounting period End 6
Primary contact name ALECIA SPARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN LOMAX
PRESIDENT
PO BOX 3193
CLARKSVILLE TN 37043-3193

Officer/Director/Trustee Two

LEO JORDAN
PRESIDENT-ELECT
PO BOX 3193
CLARKSVILLE TN 37042-3193

Officer/Director/Trustee Three

RICHARD SHIPLEY
SECRETARY
PO BOX 3193
CLARKSVILLE TN 37043-3193

Officer/Director/Trustee Four

ALECIA SPARKS
TREASURER
PO BOX 3193
CLARKSVILLE TN 37043-3193

Organization’s website WWW.SUNSETROTARYTN.ORG
Organization’s email INFO@SUNSETROTARYTN.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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