FORM 1023-EZ for THE ROTARY CLUB OF DIXIE SUNRISE OFST GEORGE FOUNDATION

Field Data
EIN 81-1765022
Case Number EO-2016091-000646
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ROTARY CLUB OF DIXIE SUNRISE OFST GEORGE FOUNDATION
Organization’s Mailing Address PO BOX 1622
City ST GEORGE
State UT
ZIP 84771-1622
Accounting period End 6
Primary contact name STEPHEN QUINN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID HIGBEE
PRESIDENT
964 BLOOMINGTON DRIVE SOUTH
ST GEORGE UT 84790-7585

Officer/Director/Trustee Two

STEPHEN QUINN
TREASURER
149 EAST 300 SOUTH
ST GEORGE UT 84770-3654

Officer/Director/Trustee Three

JOSEPH FRANZ
CHAIRMAN
4305 WINDSONG WAY
ST GEORGE UT 84790-4403

Officer/Director/Trustee Four

JANET HAINES
VICE PRESIDENT
PO BOX 711
NEW HARMONY UT 84757

Officer/Director/Trustee Five

ALEXANDRA CHARTER
TRUSTEE
30 EAST 500 SOUTH
ST GEORGE UT 84770-3605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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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