FORM 1023-EZ for THE ROTARY CLUB OF PALM BAY FLORIDAFOUNDATION INC

Field Data
EIN 47-1456728
Case Number EO-2018171-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ROTARY CLUB OF PALM BAY FLORIDAFOUNDATION INC
Organization’s Mailing Address PO BOX 060357
City PALM BAY
State FL
ZIP 32906-357
Accounting period End 12
Primary contact name TOM DIBERARDINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI LEMBERG
PRESIDENT
4625 BABCOCK ST NE
PALM BAY FL 32905

Officer/Director/Trustee Two

ERIN LONG
VICE PRESIDENT
860 DUNKIRK AVE NW
PALM BAY FL 32907

Officer/Director/Trustee Three

BRIAN CLARK
SECRETARY
962 MINA AVE NE
PALM BAY FL 32907

Officer/Director/Trustee Four

THOMAS DIBERARDINO
TREASURER
1131 PEMBROKE AVE NE
PALM BAY FL 32907

Organization’s website
Organization’s email PALMBAYROTARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/14
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS DIBERARDINO
Signature Title TREASURER
Signature Date 6/6/18

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