FORM 1023-EZ for ROTARY CLUB OF KISSIMMEE BAY INC

Field Data
EIN 59-3485519
Case Number EO-2017072-000454
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF KISSIMMEE BAY INC
Organization’s Mailing Address 100 CHURCH STREET
City KISSIMMEE
State FL
ZIP 34741
Accounting period End 6
Primary contact name FRED CUMBIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN MCKENZIE-ALFRED
PRESIDENT
4003 SANTA MARIA DRIVE
KISSIMMEE FL 34741

Officer/Director/Trustee Two

PAM ROUSCH
SECRETARY
4301 MUTTER ROAD
ST CLOUD FL 34769

Officer/Director/Trustee Three

LINDA CLARKE
TREASURER
5900 ALLIGATOR LAKE SHORE W
ST CLOUD FL 34771

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/1997
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
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
Signature Title
Signature Date

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