FORM 1023-EZ for ROTARY ECLUB STATE OF JEFFERSON FOUNDATION

Field Data
EIN 47-2243453
Case Number EO-2014340-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY ECLUB STATE OF JEFFERSON FOUNDATION
Organization’s Mailing Address 910 BEVERLY WAY
City JACKSONVILLE
State OR
ZIP 97530-9027
Accounting period End 6
Primary contact name BRUCE GARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRUCE GARRETT
PRESIDENT
910 BEVERLY WAY
JACKSONVILLE OR 97530-9027

Officer/Director/Trustee Two

KEVIN MARTIN
VICE-PRESIDENT
2116 SAWYERS BAR ROAD
ETNA CA 96027-9400

Officer/Director/Trustee Three

EMILY FRANCONA
SECRETARY
PO BOX1421
PORT ORFORD OR 97465-1421

Officer/Director/Trustee Four

RICK FRANCONA
TREASURER
PO BOX 1421
PORT ORFORD OR 97465-1421

Officer/Director/Trustee Five

JOHN ALLMAN
DIRECTOR
19521 CREEKSIDE COURT
SALINAS CA 93908-1207

Organization’s website HTTP://STATEOFJEFFERSONROTARY.ORG
Organization’s email FOUNDATION@STATEOFJEFFERSONROTARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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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