FORM 1023-EZ for GLENDALE WEST ROTARY CLUB

Field Data
EIN 26-3028894
Case Number EO-2016201-000446
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLENDALE WEST ROTARY CLUB
Organization’s Mailing Address 1675 N 95TH LANE
City PHOENIX
State AZ
ZIP 85037-1157
Accounting period End 6
Primary contact name JOHN BURK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD HANEN
PRESIDENT
19311 N 77TH DR
GLENDALE AZ 85308-6085

Officer/Director/Trustee Two

JOHN BURK
PRESIDENT ELECT
11822 N 59TH LANE
GLENDALE AZ 85304-3704

Officer/Director/Trustee Three

GINA SCHMITZ
TREASURER
3744 W STATE AVENE
PHOENIX AZ 85051-8263

Officer/Director/Trustee Four

DENICE TOMLINSON
SECRETARY
11044 N 154TH LANDE
SURPRISE AZ 85379-5337

Officer/Director/Trustee Five

NANCY VAN PELT
DISTRICT GOVERNOR ELECT
13250 W PALM LANE
GOODYEAR AZ 85395-3183

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2008
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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