FORM 1023-EZ for ROTARY CLUB OF TITUSVILLE CHARITABLE ORGANIZATION

Field Data
EIN 82-3364019
Case Number EO-2017333-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROTARY CLUB OF TITUSVILLE CHARITABLE ORGANIZATION
Organization’s Mailing Address 101 W SPRING ST PO BOX 649
City TITUSVILLE
State PA
ZIP 16354
Accounting period End 6
Primary contact name JENNIFER SNYDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN JEZ
PRESIDENT
222 W WALNUT ST
TITUSVILLE PA 16354

Officer/Director/Trustee Two

JENNIFER SNYDER
TREASURER
45177 BUELLS CORNERS RD
SPARTANSBURG PA 16434

Officer/Director/Trustee Three

STEPHEN COLEMAN
SECRETARY
101 W SPRING ST PO BOX 126
TITUSVILLE PA 16354

Officer/Director/Trustee Four

TERRI WIG
VICE-PRESIDENT
11634 N PERRY RD
TITUSVILLE PA 16354

Officer/Director/Trustee Five

ALFONSO RICKERSON
BOARD MEMBER
12248 N PERRY ST
TITUSVILLE PA 16354

Organization’s website HTTP://TITUSVILLEROTARY.ORG
Organization’s email TRC@TITUSVILLEROTARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2017
Organization Incorporation State PA
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: 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 No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
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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