west hempstead, ny rotary foundation irs 990s, 2011-2013
TRANSCRIPT
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
1/39
l
efile
GRAPHIC
p
rint - DO
NOT PROCESS
As
Filed Data
-
DLN: 93492136012992
Short F o rm
OMB
No
1545-1150
990 .EZ
Return o f Organization Exempt F r om I ncome T ax
2010
Form
Under section
50 1 c ) ,
52 7, o r
4947
a)(1) of the Internal Revenue Code
(except
b la ck l un g
benefit trust
o r p ri v at e
foundation)
0 -
Sponsoring organizations
o f donor advised funds,
organizations
t h a t
operate
on e or mor e
h o s p i t a l f c i l i t i e s a nd
D e p a r t m e n t
o f th e
T r e a s u r y
c e r t a i n
c o n t r o l l i n g
or ga n iz a ti ons a s d ef i ned
i n
s e c t i o n 512(b)(13) must
f i l e
Form 99 0 (see
i n s t r u c t i o n s )
_
A l l other
organizations
with
gross
r e c e i p t s l e s s than 200,000 a nd t o t a l
assets
l e s s
than
500,000 a t th e en d o f th e
I n t e r n a l
Revenue
S e r v i c e
year
may us e t h i s form
-
i Th e
organization
may have
to us e
a copy of t h i s r e t u r n t o s a ti s f y s t at e r e p or t i n g
requirements
A
Fo r the
2
calendar yea r ,
or
t ax y ea r beginning
07
-
01-2010
, a n d e n d in g 0 6- 3 0- 2 01 1
B Check
i f applicable
C Name o f organization
r Address
c ha ng e
WEST HEMPSTEAD ROTARY FOUNDATION
r Name
c ha ng e
Number
a nd s tr e e t o r P
0
box,
i f
mail
i s
not delivered to s t r e e t
address
Room/suite
F
I n i t i a l
r e t u r n
86 1
HEMLOCK STREET
F
Terminated
F
Amended r e t u r n
C i t y or
town,
s t a t e or country, a n d ZI P
+
4
F R A NK LIN S Q UA R E ,
NY 11010
IlApplication
pending
G
Acco u nting
method
F'Cash
r A ccr u a l O the r
specify) i
D Employer
identification number
27-1598339
E
Telephone number
(516) 538-8515
F
Group Exemption
Number i -
I
Website
H Check i -
f t he o r ga n iz a t io n is n o t
3 Ta x -
Exempt
s ta tu s (check only one)-I_
501(c)(3)?
+f l
501(c)( A(insert no
)I
4947(a)(1)
or
r
52 7
r e q ui r ed to
a t t a c h
Schedule B
(Fo rm
990, 990-EZ,
or990-PF)
K Check i - F i f th e organization
i s
no t a section 509(a)(3)
supporting
organization a nd i t s
gross
receipts ar e normally not more than
50,000 A Form
990-EZ or
Form 990
return
i s no t
required
th o u g h
Form 990-N
(e-postcard)
may b e r equi re d ( se e
instructions) Bu t i f th e
organization c h o o s e s
t o
f i l e
a
r e t u r n ,
be
sure
t o
f i l e
a
complete return
L Ad d l i n e s
5 b ,
6 c , a nd 7 b ,
t o
l i n e 9
t o
determine gross
r e c e i p t s ,
I f gross r e c e i p t s ar e
200,000 o r
more,
o r
i f t o t a l assets P a r t
I I , l i n e
2 5 ,
column B )
below)
ar e
500,000
o r
more, f i l e Form 99 0 i n s te a d o f F o r m 9 90 -E Z i 91,024
Revenue Expenses
and
Changes
i n
Net Assets or Fund Balances (See t h e i n st r uc t io n s fo r P a r t I
Check
i f
th e
organization
u s ed S c he d ul e
0
t o respond t o a ny question i n
t h i s
Part
I
1
Contributions, g i f t s , grants, a nd similar amounts received
1
43,207
2
P r o g r a m service
rev enu e
including government fees a nd contracts
2
3
Membership due s a nd assessments
3
4
Inves tmen t
income
4
116
5a
Gros s amount from sale o f assets o t he r t ha n inventory
5a
? b
Less cost
or o t he r b a si s
a nd
sales expenses
5b
C D
c
Gain
o r ( lo ss) from sale o f assets o th e r t h an inventory (Subtract l i n e 5b from l i n e 5a )
Sc
C D
C c
6
Gaming
a nd
fundraising ev ents
a Gross income
from gami n g
(attach
Schedule
G
i f greater
than
15,000)
6a
b
G ro ss i n co me
from
fundraising events (not
including
47,701
o f
contributions
from
fundraising events
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
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Form
990-EZ 2010)
Page
2
Balance
Sheets
Check
i f the
organization
used Schedule
0
t o
respond
t o
any
question i n t h i s Part I I
Se e the instructions
f o r
Part
I I
A)
Beginning o f
year
B) En d o f
year
22
Cash,
savings,
and
investments 608 22 57 081
23 Land
and
buildings 23
24
Other
assets
describe
i n Schedule
0
24
25 Total
assets
608 25 57 081
26 Total l i a b i l i t i e s describe i n Schedule O) 26
27
N et a sse ts
or fund
balances l i n e 27 o f
column
B)
must
agree with
l i n e 21) 608
27
57 081
Statement of Program Service Accomplishments Expenses
Check i f
the
organization
used Schedule
0
t o
respond
t o
any
question i n t h i s Part
I I I
F
Required
f o r section
501
What
i s
the
organization s
primary exempt purpose?
c) 3)
a n d 5 01 c) 4)
ASSISTANCE AND OMMUN TY SUPPORT
organizations
and
section
4947 a) 1)
trusts,
Describe w ha t
w as
achieved i n
c arryi n g out
the
organization s
exempt purposes
In
a clear a n d c on c is e manner,
optional f o r others
describe th e services provided, the number o f
persons
benefited,
and
other
relevant information
f o r each
program t i t l e
28ASSISTANCE AND
SUPPORT TO MEMBERS
OF THE WEST HEMPSTEAD
OMMUN TY
ASSISTANCE
AND SUPPORT TO MEMBERS OF THE WEST HEMPSTEAD OMMUN TY
Grants I f t h i s
amount
includes foreign grants, check here
F
28 a
29
Grants I f t h i s amount includes foreign grants, check here
-
29a
30
Grants
I f
t h i s
amount
includes
foreign grants,
check
here
-
30a
31 Other program services describe i n Schedule O
Grants
I f t h i s amount
includes foreign grants, check here
F
31 a
32
Total program service expenses add
l i n e s
28a
through 31a)
l
p l ^
32
ffUST
List
of Officers, Directors
Trustees,
and
Key
Employees
L i s t e ach o ne
even i f
no t
compensated S ee th e i n st r uc t io n s f or P a rt
I V
Check
i f t h e o r ga n i za t i on used Schedule
0
to respond to any question in
this
Part
I V
a)
Name and
address
b )
T i t l e
and
average
hours
per
week
devoted
t o
position
c ) Compensation
I f n ot pa id
ent er - 0 - . )
d)
Contributions t o
employee benefit plans
deferred
compensat ion
e ) Expense
account and
other allowances
Se e
Additional D at a T ab le
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
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Form 990-EZ (2010)
Pace
3
Other
Information (Note t h e statement requirements i n t h e
i n s t r u c t i o n s
f o r
P a r t V . )
Check i f the
organization
u s ed S che du l e
0
t o respond t o
any
question i n t h i s Part V
Yes No
33
Did the organization engage
any activity
not previously reported
t o
the IRS? I f Yes, provide a detailed
description o f
each activity i n Schedule
0
33 No
34
Were an y
significant changes
made t o
the organizing or
governing
documents?
I f
Yes, attach a
conformed copy No
o f
the amended documents
i f
they
r e f l e c t
a
change
t o the organization s
name
Otherwise,
explain
the
change on
34
Schedule
0
(see instructions)
35 I f the
organization
ha d
income
from business
a c t i v i t i e s ,
such
as
those
reported on l i n e s
2 , 6a, and 7a
among
others), but
not reported
on
Form 990-T explain
i n Schedule
0
why the
organization
d i d not repor t t he
income
on
Form 990-T
a Did the
organization
have unrelated
business
gross income of 1,000 or more or was i t a section 501(c)(4), 501
( c ) ( 5 ) , or
501(c)(6)
organization subject
t o
section
6033 e) notice,
reporting,
a nd p ro xy
tax
requirements?
35 a
No
b
I f
Yes,
ha s
i t
f i l e d a tax
return
on Form 990-T f o r t h i s year?
(see
instructions 35 b No
36
Did
the
organization
undergo a l i q u i d a t i o n , dissolution,
termination,
or
significant disposition
o f net assets
during
the year? If Yes, complete applicable parts
o f
Schedule N
36 No
37a
Enter amount o f
p o l i t i c a l
expenditures, d i r e c t o r i n d i r e c t , as described i n the
i n s t r u c t i o n s
0 -
37a
b
Did the organization f i l e Form 1120
-POL
f or t hi s year? 37 b
No
38 a Did the
organization
borrow
from, or
make
any
loans
t o , any
o f f i c e r , director, trustee, or ke y employee
or
were
any such
loans made a p r i o r
y ea r a nd
s t i l l
outstanding a t
the
end o f
the ta x
year covered
by
t h i s
return? 38 a
No
b
I f
Yes,
complete Schedule
L , Part I I
and
enter the
t o t a l
amount involved 38 b
39
Section 501(c)(7) organizations.
Enter
a I n i t i a t i o n fees
and
capital contributions included on
l i n e
9
39 a
b
Gross
receipts, included on
l i n e 9 , f o r public use
o f club
f a c i l i t i e s
39 b
40a Section
501(c)(3) organizations.
Enter amount o f tax imposed on the
organization during
the year
under
s e c t i o n 4911
01
0
s e c t i o n 4912
l i k
0
s e c t i o n 4955
01
0
b
Section 501(c)(3) an d 501(c)(4) organizations. Did the organization engage i n
any
section 4958 excess benefit
transaction during
the year
or
d i d
i t engage an excess benefit transaction
i n a p r i o r year
that
has not been
reported
on
any
o f i t s p r i o r
Forms
990
or 990-EZ?
I f
Yes,
complete Schedule
L ,
Part I
40b N
o
c
Section 501(c)(3) and 501(c)(4)
organizations
Enter
amount
o f tax
imposed on organization
managers
or
disqualified
persons
during
the
y ea r u nde r
sections 4912, 4955,
and
4958
d
Section 501(c)(3) and 501(c)(4)
organizations
Enter
amount
o f
tax on
l i n e
40c reimbursed by the
organization
e
A l l
organizations.
At
any time during
the ta x ye ar,
was
the
organization
a
party
t o
a
prohibited tax
shelter
transaction? I f
Yes,
complete
Form 8886-T
41
L i s t
the
s t a t e s
with
which
a
copy
o f t h i s r e t u r n
i s f i l e d
N Y
40e
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
4/39
Form 990-EZ
(2010)
Pa g e
4
Yes No
45 I s an y related organization a controlled entity o f
the
organization within
the
meaning o f section 512(b)(13)? I f
Y e s , F
o
r
m 9 90 a nd Schedule
R
must b e c o mp l e t e d instead
o f Form990-EZ
45 N
o
45a D id t he o rg ani zat io n r e ce iv e
an y
payment
from
or
engag e
i n
an y transaction
with a controlled entity within the
meaning
o f
section
512 (b)(13 ) 7 I f 'Yes,'Form 9 90 a nd
S ch e du le R must b e c o mp l e t e d instead o f
Form990-EZ
45a
No
46 Di d
t h e o r ganiza t ion
en gage,
directly
or
indirectly
i n
p o l i t i c a l
campaign activities
on
behalf
o f or i n opposition t o
candidates f o r public o f f i c e ?
If Yes,
c o mp l et e S ch e d ul e C
Part
I
46
No
Section 501 c)(3)
organizations
and section 4947
a)(1)
nonexempt
c har i tab l e t r us ts o nl y.
A l l
section 501(c)(3) organizations
and
section
4947(a)(1) nonexempt
charitable
trusts must answer
questions
47-49b
and
52.
Check i f t h e o r ganiza t ion us ed S c he du l e
0
t o r espon d t o
an y
question
i n t h i s Part VI
No
47 Di d
the
organization engag e lobbying activities? I f Yes, c o mp l et e S ch e d ul e
C
Part II
47
No
48
I s t h e o r ganiza t ion a
school
described
section
170 b ) 1 ) A ) i i ) 7
I f
Yes, compl
e t e S c h e d u l e E
48
No
49a
Di d
t h e o r ganiza t ion
make an y
transfers
t o an
exempt
non-charitable
related
organization?
49a
No
b If Yes, w as the related organization a section 527 organization?
49b
50
Complete
t h i s
table f o r t h e o r ganizat i on' s f i v e
highest
compensated employees (other
than o f f i c e r s ,
directors,
trustees an d
ke y
e mp l oy e es ) w h o
eac h
received mor e than 100,000
o f
c ompensat ion from
the
organization I f
there
i s n on e, e nt e r
None
(a)
Name and a dd r e ss o f
eac h employee
paid
mor e than 100,000
(b)
T i t l e
a nd a ve r ag e
hours pe r
week
d e v o t e d
t o
position
c )
Compensation
(d)
Contributions t o
employee benefit plans
deferred c ompensat ion
(e) Expense
account an d
other
allowances
NONE
50(f) Total
number
o f
other
employees
paid
ov e r
100,000
51 Complete t h i s table f o r t h e o r ganizat i on' s f i v e
highest
compensated
in depen den t contractors
w ho e ac h
received
mor e
than
100,000
-
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efile GRAPHIC
p
rint -
DO
NOT PROCESS As Filed Data -
DLN:
93492136012992
SCHEDULE
A
P u b l i c Charity
Status
a nd P u b l i c
Support
OMB No
1545-0047
Form 990 o r 990EZ) 2
ompl t
i f t h e o rg a ni z a ti o n
is a section
5 0 1 c) 3 ) or ga n i z a t ion
or a section
D e p a r t m e n t o f t h e r e s u r y 4947 a ) 1) nonexempt
charitable
trust.
I n t e r n a l
Revenue S e r v i c e
Atta c h
t o Form
9 9 0 or Form
9 9 0 - E Z
S ee
s e p a r a t e
instructions.
Name of t h e
o r g a n i z a t i o n
Employer ide n t i f i cat ion
number
WEST
HEMPSTEAD ROTARY FOUNDATION
27-1598339
Reason for Public C h a r i t y Status
A l l
organizations
must
c om p l e t e
t h i s
p a r t . See
Instructions
Th e
o r g a n i z a t i o n
i s n o t a p r i v a t e foundation
beca use
i t i s F o r l i n e s 1
through
1 1 ,
check
o n l y on e
box)
1 A church,
convention o f c h ur c h e s,
or association
o f
c h u r c h e s
described
i n section 170 b) 1) A) i).
2
A s c h oo l d es c r ib e d i n
section
170
b) 1) A) ii).
Attach S c h e d u l e E
3 A hospital or a cooperative hospital service
organization
described i n section 170 b) 1) A) iii).
4
A m e di ca l r e se a rc h
organization
op e r a t e d i n conjunction with a hospital described i n
section
17 0 b) 1) A) iii). Enter th e
hospital s n a m e ,
c i t y , a n d
state
5 fl An organization
operated f o r th e
benefit o f
a
college or
university owned
or
op e r a t e d
by
a g o v e r n m e n t a l u n i t described i n
section
170
b) 1) A) iv .
C o m p l e t e
Part
I I
6
fl A
federal,
s ta te , or l o c a l gov rnm nt or
g o v e r n m e n t a l u n i t described i n
section
17 0 b) 1 ) A ) v ) .
7 An
organization
that normally receives a
substantial
part
o f
i t s s u pp or t f ro m a g o v e r n m e n t a l
u n i t
or from th e general public
described
i n
section 170 b) 1) A) vi C o m p l e t e Part
I I
8 fl A community trust described i n section 170 b) 1) A) vi C o m p l e t e Part I I
9 F An
organization
that normally receives 1 )
mor
t h a n 331/3 o f
i t s
s u pp or t f ro m
contributions,
membership fees, a n d g ros s
receipts
from activities related t o
it s
exempt
f un c t i on s-subje c t
t o certain exceptions,
a n d
2 )
no more
t h a n
331/3
o f
it s
sup p or t
from
gross
inves tment income
a n d
unrelated
busi n e ss
taxable income
less
section
511
tax)
from b u s i n e s s e s
acquired
by
th e
organization
after
June
30 , 1975 S e e section
50 9
a) 2) . C o m p l e t e
Part
I I I
10
fl An organization organized
a n d o pe ra t ed
exclusively
t o
test
f o r public
safety S ees ectio n 509 a) 4).
11
fl
An
organization
o rg an iz ed a n d o pe ra t ed
exclusively
f o r th e
benefit of ,
t o perform th e
functions o f , or
t o carry
ou t
th e pu rpo s es o f
on e
or mor publicly
sup p or t e d
organizations described i n section
5 0 9 a ) 1 )
or section
5 0 9 a ) 2 )
S e e section 50 9 a) 3). Check
th e
box
that
describes
th e t y p e
o f
s u p porting o rga n iza t ion
a n d co mplete
l i n e s 11e
through
11h
a fl
Type
I b fl
Type
I I c f l
Type I I I
Functionally integrated d fl
Type I I I
O t h e r
e
fl B y c h ec ki n g
t h i s
box,
I c e r t i f y
t ha t t he organization
i s
not controlled
directly
or
indirectly
by
on e
or mor disqualified
p e r son s
other
t h a n f ou n da t i on managers a n d o th e r t h a n on e or
more publicly
sup p or t e d
organizations
described i n
section
5 0 9 a ) 1 or
section
5 0 9 a ) 2 )
f
I f
th e organization received a written
d et e rm i na t i on f r om
th e I R S that i t
i s
a
Type I ,
Type I I or Type I I I supporting organization,
c h e c k
t h i s box F
g
Since August 17, 2006, h a s th e organization a c c e p t e d
a n y
g i f t or
contribution
from
a n y o f
th e
following
perso ns?
i
a p e r son who directly
or
indirectly controls, either
alone or
together
with
p e r son s
described i n i i
Yes No
a n d
i i i
below,
th e governing body o f th e th e
sup p or t e d
organization? 11g i)
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
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Sc he dul e A ( Fo rm 99 0
o r
990-EZ)
2010
Page 2
Support Schedule fo r Organizations Described i n Sections 170 b ) ( 1)(A)(iv)
and
170 b) 1)
(A)(vi)
(Complete only
y ou c he cke d the bo x on l i n e 5 , 7 , or
8
of Part
I
or
the
organization
f a i l e d t o qualify
u n d e r Part I I I . I f
the organization
f a i l s
t o qualify
u n d e r the tests
l i s t e d be lo w , pl e as e complete
Part
I I I . )
Section A Public
Supp
o r t
Cale n d ar y e ar ( o r f is c al year beginning
(a )
2006 (b) 2007 ( c ) 2008 (d ) 2009 (e ) 2010 ( f ) Total
i n )
1
G i f t s , grants,
contributions, and
membership fees r ec eive d ( Do no t
include
any
un u su a l
grants )
2
Tax revenues levied f o r the
organization's benefit and either
paid t o
or expended
on
it s
behalf
3
The value o f
services
or f a c i l i t i e s
f ur n is h ed by
a governmental u n i t t o
the organization without charge
4
Total
.Add
l i n e s
through 3
5
The
portion o f
t o t a l
contributions
by
e ac h pe rs o n
(other than
a
gove rn m e ntal u n i t
or publicly
supported o r ganizati on) included o n
l i n e 1 that exceeds 2 o f the
amount shown on
l i n e
11, c o l u m n
f
6
Public
Support
Subtract
l i n e
5
from
l i n e
4
Section B . Total
Su
pp
o rt
Calendaryear
( o r f is c al
year
beginning
( a )
2006
( b )
2007 ( c ) 2008
( d )
2009
( e )
2010 ( f ) T o t a l
i n
7
Amounts
from l i n e
4
8
Gr o ss in co m e
from i n t e r e s t ,
dividends, payments received on
s e c urities l oan s , r ents, r o ya ltie s
and income from similar
10
11
12
s ou r c e s
Ne t
income
from
unrelated
business a c t i v i t i e s , whether
or
n ot th e business i s regularly
carried on
O th e r i nc o m e Do no t
include
gain
o r los s from th e s al e o f capital
assets
(Explain
i n Part
IV
Total support ( Ad d l i n e s 7
through
10)
Gr o s s
receipts from related a c t i v i t i e s ,
etc
(See instructions
12
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
7/39
Sc he dul e A ( Fo rm 99 0
o r
990-EZ)
2010
Page 3
T
Support Schedule fo r
Organizations
Described i n Section 509(a)(2)
(Complete only
i
y ou c he cke d the bo x on l i n e 9
of
Part
I
or
i
the
organization f a i l e d
t o qualify u n d e r
Part I I . I f the
organization
f a i l s t o qualify u n d e r the tests
l i s t e d be lo w , pl e as e
complete Part I I . )
Section
A
Public
Sunnort
Cale n d ar y e ar o r f is c al year beginning
(a )
2006 (b) 2007 c ) 2008 (d ) 2009 (e) 2010 f ) Total
in )
l l i k ^
1
G i f t s , grants,
contributions,
and
membership fee s received (Do not
608 43,207 43,815
include any
un u su a l
grants )
2
Gr o s s
receipts
from
ad mis s io n s ,
m e r c h a n d i s e s old or services
performed,
or f a c i l i t i e s furnished i n
any activity that i s related t o the
organization's
tax-exempt
purpose
3
Gr o s s
receipts from activities that
are no t a n u n re l ate d
trade
or
business
under
section 513
4 Tax revenues
levied
f o r the
organization's benefit and either
paid t o
or expended on it s
behalf
5 The value o f services or f a c i l i t i e s
f ur n is h ed by
a gov e r n m e ntal
u n i t
t o
the
organization
without charge
6 Total
Add
lines
1 through
5
608 43,207 43,815
7a
Amounts i nc lu de d o n
l i n e s 1 , 2 ,
and 3 r e ce iv ed f r om
disqualified
persons
b Amounts i nc lu de d o n
l i n e s 2
and
3
r ec ei ve d f ro m o th er th an
disqualified persons that exceed
the
greater
of 5,000
or
1 o f
the
amount on l i n e 13 f o r the year
c Add l i n e s
7a and
7b
8
Public Support (Subtract
l i n e 7c
43,815
from l i n e
6
Section B . Total
Suppo rt
Cale n d ar y e ar o r f is c al
year
beginning
(a )
2006 (b ) 2007 c ) 2008 (d ) 2009 (e ) 2010 f )
Total
i n)
9
Amounts
from line
6
608
43,207 43,815
10a
Gr o ss i nc om e
from
i n t e r e s t ,
dividends,
payments received on
s e c uri ti e s l oan s , rents, royalties
0
and i n c o m e
from
similar
s o u r c e s
b
Unrelated
business taxable
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
8/39
S ch ed ul e A
Form 99 0
o r
990-EZ 2010
Page
Supplemental
Information
Supplemental Information. Complete t h i s part t o provide the explanations
r eq uir ed b y
Part l i n e 10; Par t l i n e 17 a or
17b;
and Part l i n e 12.
Also
complete
t h i s
part f o r any
additional
information.
See instructions .
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
9/39
Additional Data
Software
ID
10000149
Software
Version
2010.2.15
EIN: 27 -1598339
Name WEST HEMPSTEAD ROTARY FOUNDATION
Form 990EZ Part IV List o f
Officers, Directors, Trustees and
Key
Employees
A Name
a n d
address
B
Title
a n d
average C ompensation
D
C o n t ri but i o n s t o E
Expense
hours per week I f no t paid employee b enefi t pla n s
account
a n d
devo ted
to
position enter 0 .
other allowances
deferred compen s a t i o n
RONY KESSLER PRESIDENT
002
00 0
861 HEMLOCK STREET
FRANKLIN
SQUARE NY
11010
HOW RD
ROBINS V
PRES 002 00
0
2029
VALENTINES ROAD
WESTBURY NY
11590
SANDRA SALMON V PRES 002 00
0
191
BERRYHILL
COURT
WEST HEMPSTEAD NY
11552
RICHARD
M RMON H LM DIRECTOR
002
0
84-33
169 STREET
JAMAICA NY
11432
LEO MON H N SECY 002 00 0
C/O UBS
333
EARL OVINGTON BLVD
MITCHELL
FIELD NY 11553
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
10/39
efile GRAPHIC
p
rint -
DO
NOT PROCESS
As
Filed Data - DLN: 93492136012992
SCHEDULEG
Supplemental Information Regarding
OM
No
1545-0047
(Form 990 o r 990-EZ)
F u n d r a i s i n g
o r
Gaming A c t i v i t i e s
2010
Complete i f th e organization answered
Yes to
F o rt h 9 9 0 , Part
I V
lines
17
18,
o r
19,
D e p a r t m e n t
o f
t h e
T r e a s u r y
or
i f
the organization
entered
more than
15,000 on
F o r m 9 90 E Z ,
l i n e 6a
Open
to Public
I n t e r n a l
Revenue S e r v i c e Attach t o
F o r m
99 0 o r F or t h 99 0 E Z . Se e separate i n s t r u c t i o n s .
nspection
Name
o f the o r g an i za t io n
WEST HEMPSTEAD ROTARY FOUNDATION
Emp l oy e r identification number
27-1598339
Fundraising A c t i vi t i e s
Complete
i f
the
organization answered Yes t o
Form
990,
Part IV,
l i n e
17.
Indicate
whether th e
organization
raised
f u nd s t hr o u gh an y o f
th e
following
activities
Check a l l
that
apply
a
M a il so l ic i ta t io ns e
Solicitation
o f
non government grants
b
Internet and
e-mail
solicitations f
Solicitation o f government
grants
c
P h o n e
solicitations g
Special
fundraising e v e n ts
d In - p e rs on solicitations
2a Di d
the
organization have
a
wr it te n o r o r a l a g r e e m e n t with any
individual
(including o f f i c e r s , directors, trustees
or
ke y employees
l i s t e d
i n
F or m 9 90 ,
Part
VII)
o r e nt it y
i n
c on n e c t i on
with
professional fundraising
services?
Yes No
b I f Yes,
l i s t t he t en
highest p ai d i nd iv i du al s o r
entities (fundraisers)
pursuant t o a g r e e m e n t s u n d er w hi c h
the
fundraiser
i s
t o be compensated a t least 5 000 b y t he o r ga ni za ti o n F o r m 990-EZ f i l e r s ar e n o t r e qu ir ed t o c o mp l e t e
t h i s
table
i
Name
a n d a dd r ess o f
individual
o r e nt it y (fundraiser)
i i )
Activity i i i )
Di d
fundraiser
have
c ust ody
or
control
o f
contributions?
i v Gr oss receipts
from
activity
(v ) Amount paid t o
o r r et ai ne d b y)
fundraiser
l i s t e d
i n
c o l i
v i Amount
paid
t o
o r
r e ta in ed b y)
organization
Yes
No
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
11/39
Schedule
(Form
990 or 990-EZ
2010
Page 2
Fundraising Events Complete i
t h e
organization answered Yes t o Form 990,
P a r t
I V , l i n e 1 8 , or reported
more than $15,00 0 on Form 990-EZ, l i n e 6a. L i s t events with gross receipts greater than $5, 0 0 0 .
(a)
E ve nt 1
(b )
Event
2
c
Other Events
(d) Total
Events
(Add c o l
(a)
through
DINNER
c o l c
(event type)
(event type)
t o t a l
number)
c o
1
Gross
receipts
47,701 47,701
2
Less
Charitable
contributions
3
Gro ss i ncom e
l i n e
1
47,701 47,701
minus l i n e
2)
Cash
prizes
u
5
Non-cash prizes
6 Rent/facility costs
7 Food
an d
beverages
6 , 6 79 6 , 6 79
8
Entertainment
9 Other direct expenses
10
Direct
expense summary
Add
l i n e s 4 through 9 i n column d
6 , 6 7 9
11
Ne t
income summary Combine
l i n e s
3 an d
10
i n column
d .
41,022
Gaming
Complete i
t h e
organization answered Yes
t o
Form 990,
P a r t
I V ,
l i n e 1 9 ,
or reported more
than
$15,000
on Form 990-EZ, l i n e 6a.
c o
(a)
Bingo
(b )
P u l l
tabs/Instant
c
Other gaming
(d)
Total
gaming
bingo/progressive
bingo
(Add c o l
(a)
through
c o
c o l c
c o
1 Gross
revenue
n 2
Cash
prizes
3
Non-cash
prizes
L I J
Rent/facility
costs
5
Other direct expenses
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
12/39
Schedule Form
990 or 990-EZ
2010
Page
3
11 Does the organization operate g a m i n g activities with nonmembers?
es
r-
No
12 s the
organization a
grantor
beneficiary
or
trustee
o f
a trust
or
a
member o f
a
partnership or other
entity
formed t o administer charitable g a m i n g ?
r-Yes No
13 Indicate
th e percentage
o f g a m i n g
activity operated
a
The organization
s
f a c i l i t y 13 a
b An
outside f a c i l i t y 13b
14 Provide the name a n d a ddr es s o f the person who
prepares
the organization s g a m i n g
special
ev en ts b ooks a nd
records
Name
Address
15 a
Does the organization h ave a contract with a t h i r d party from whom the organization receives g a m i n g
revenue?
fl
Ye s fl
No
b f Yes, enter th e amount o f g a m i n g revenue received by the organization a nd the
amount o f g a m i n g revenue ret ai ned by the t h i r d party
c f Yes, enter name a nd
address
Name
Address
16 Gaming
manager
information
Name
Gaming
manager
compensa tio n
1 1 1 1 1
Description o f service s provided
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
13/39
efile GRAPHIC
p
rint - DO NOT PROCESS As Filed Data - DLN: 93492136 12992
SCHEDULE
OMB No
1545 47
Form 990 o r
9 9 0 - E Z
Supplemental Information
t o
F o r m
9 9 0
or 9 9 0-EZ
2
O
D e p a r t m e n t o f t h e r e a s u r y
Complete to provide
information
fo r
responses
to specific
questions o n
Form
or
t o p r ov i de
any additional
information
Open
I n t e r n a l
R e v e n u e
e r v i c e
Attach
to
Form
or
9 9 0 - EZ.
Inspection
Name
of
the o r gan i zat i o n
WEST HEMPSTEAD
ROTARY FOUNDATION
Employer
identification
number
27 1598339
I d e n t i f i e r Return Explanation
Refe r e n c e
Form 990-EZ P a r t L i n e 1 0
Grants
P a i d
A c t i v i t y Grantee COALITION AGAINST DOMESTIC
VIOLENCE
Cash
Grant
7 0 0 0 R e l a t i o n s h i p Form 990-EZ P a r t L i n e 1 0
Grants
P a i d
A c t i v i t y Grantee VARIOUS
Cash
Grant
2 0 7 6 5 R e l a t i o n s h i p
Form
990-EZ P a r t L i n e 1 6
Other
Expenses
Bank
c ha r ges 3 7
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
14/39
l
efile GRAPHIC
p
rint
- DO NOT PROCESS As Filed Data -
DLN:
93492134011773
Short Form
OMB No 1545-1150
F
990
EZ
Return
o f
Organization Exempt F r om Income
Tax
orm
Under section 501 c) ,
527, or
4947
a)(1) of
the
I n t e r n a l
Revenue
Code
2 0 1 1
(except
b la ck l un g b en ef it trust
or
private
f o u nda t i o n )
0 -
Sponsoring
organizations
o f donor advised funds,
organizations
t h a t
operate
on e o r more h o s p i t a l
f c i l i t i e s a nd
DepatmentoftheTreasury
c e r t a i n
c o n t r o l l i n g
or ga n iz a ti ons a s d ef i ne d
i n
s e c t i o n 512(b)(13) must
f i l e
Form 99 0 (see
i n s t r u c t i o n s )
O
pen t
o Pu:
A l l other
organizations
with
gross
r e c e i p t s l e s s than 200,000 a nd t o t a l
assets
l e s s
than
500,000 a t th e e nd o f th e
I n t e r n a l Revenue S e r v i c e
y e a r
may us e t h i s form
-
Th e organization may have
to us e
a copy of t h i s r e t u r n t o s a ti s fy s t at e r e po r ti n g
requirements
A
Fo r the
2011 calendar
year
o r tax year
beginning
07
- 01-2011
and ending
06-30-2012
B
Check
i f a p p l i c a b l e
C Name o f organization
r Address
c ha n g e
WEST
HEMPSTEAD
ROTARY FOUNDATION
F Name
c ha n g e
Number a nd s t r e e t
o r P 0 box,
i f
mail
i s
n o t d el i ve r ed t o
s t r e e t address)
Room/suite
IlInitial r e t u r n
86 1 HEMLOCK STREET
F
Terminated
F Amended
r e t u r n
C i t y or
town, s t a t e
o r c ou n tr y ,
a n d
ZI P +
4
F R A NK LIN S Q UA R E ,
NY
11010
IlApplication
pending
G
Accounting method
I
Cash
r'Accrual
Other
( sp e c i f y )
0 -
I
3 Ta x
- Exempt
st a t u s (check only one)-I_ 501(c)(3)?+fl
501(c ) 1(insert no )I 4947(a)(1)
or
r527
D Employer
identification
number
27-1598339
E Telephone number
(516)
538-8515
F Group
Exemption
Number
0 -
H
Check
-
i f th e organization
i s
no t
required t o attach S ch e du l e
B
(Form 990, 990-EZ, or 990-PF)
K
Check 0- I ifthe
o r g a n i z a t i o n
is
n ot
a section 509(a)(3)
supporting o r g a n i z a t i o n
or a
s e c t i o n
527
o r g a n i z a t i o n
and
i ts gross
receipts
ar e
normally
n ot more than 50,000 A Form 990-EZ or Form 990 r e t u r n
is
n ot req uired though Form 990-N (e-postcard) may be r e qu i re d ( s ee
ins tructions )
B u t
i f th e o r g a n i z a t i o n chooses to f i l e a re tu rn,
be
s u r e to f i l e a complete
r e t u r n
L Ad d l i n e s
5 b ,
6 c , a nd 7 b , to
l i n e
9 to determine gross
r e c e i p t s , I f
gross r e c e i p t s ar e 200,000
or
more, or i f t o t a l assets P a r t
I I ,
l i n e 2 5 ,
column B )
below)
ar e 500,000
o r
more,
f i l e
Form
99 0
i n s te ad o f
Form 990-EZ
1 -
84,446
Revenue Expenses
and
Changes
in
Net Assets or
Fund
Balances (See t he i n st r uc ti on s f o r Part I
Check i f
th e organization
u s ed S ch e du l e
0
t o r e spo nd t o a ny q ue st io n
i n t h i s
Part I
1
C o n t r i b u t i o n s , g i f t s , g r a n t s ,
and
s imi l a r
amounts received 1 31,645
2 Program
s e r v i c e
revenue
i nc l u d i n g
government
f e e s
and contracts 2
3
Membership dues a nd assessments
3
4
Investment income
4
5a
G r o s s
amount
from
sale
o f a s s e ts
other
than
inventory
5a
?
b
Less
cost
o r
other
bas is
a nd sales
e x p e n s e s 5b
a
c Ga i n o r
(loss)
f rom sale o f a s s e ts
other
than
inventory
(Subtract
l i n e
5b from
l i n e 5a )
Sc
C D
6
Gaming and f u n d r a i s i n g events
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
15/39
Form 990-EZ 2010)
Page 2
ff
Balance Sheets
Check i f th e organization used Schedule
0
t o
respond
t o
an y question i n t h i s
Part
I I
See t h e i n st r uc ti o ns fo r Part
I I
A)
Beginning of
year
(B) End of
year
22 Cash, savings
and
investments 57,081 22 57,856
23 Land
and
buildings 23
24 Other assets (describe
i n
Schedule
0)
24
25
Total
assets
57,081
25
57,856
26 Total l i a b i l i t i e s (describe i n Schedule
0)
26
27
Net assets or
fund
balances l i n e 27
of column (B) must
agree
with
l i n e 21)
57,081 27
57,856
Statement
of
Program
Service Accomplishments Expenses
Check
i f
t h e organization used Schedule
0
t o respond to any question
i n
this Part II I
Required
fo r
section
501
What
t h e o r ga n iz a t io n s primary exempt purpose?
(c)(3)
and
501 c) 4)
ASSISTANCE AND COMMUNITY SUPPORT
organizations
and
section
4947 a) 1) trusts,
Describe th e
organization s
program service accomplishments f o r
each
o f
i t s three largest
program services,
as
optional
f o r others
measured
by
expenses In a
clear
an d c on ci se m an n er , describe th e services provided, th e number o f persons
benefited, an d
other
relevant in formation f o r e ac h p ro gr am t i t l e
28ASSISTANCE AND SUPPORT TO
MEMBERS
OF THE WEST HEMPSTEAD COMMUNITY
Grants 62,654) I f this amount
includes
foreign grants,
check
he re
F
28a
16
29
(Grants I f t h i s amount includes foreign
grants,
check here
(-
29 a
30
(Grants I f t h i s amount includes foreign grants, check here
0
(-
30a
3
ther
program
services
(describe
i n Schedule
0)
(Grants I f t h i s amount includes foreign
grants,
check here
0
31a
32 Total program
service
expenses
(add
lines 28a through 31a)
1
0 1
32 16
List of Of ficers ,
Directors
, Trustees and Key Employees
L i s t
each o n e ev en i f no t compensated (See th e i n s t r u c t i o n s f o r P a r t I V
Check i f th e organization used
Schedule
0
t o
respond
t o
an y
Question
i n
t h i s
Part
IV
(b) Title and average (c) Compensation (d) Contributions to (e) Expense
(a)
Name and
address hours
pe r
week
If n ot pai d
, employee benefit
plans
account
and
devoted
t o Dosition
enter - 0 - . )
deferred
compensation other
allowances
Form 990-EZ (2011)
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
16/39
Form 990-EZ
2011)
Page 3
Z
ther
Information
Note
th e
statement
requirements i n the instructions
fo r
Part V. )
Check i f the
organization
used
Schedule
0
t o
resDond
t o
an y
question i n t h i s Part V
Yes
No
33
Di d
the organization
engage i n any
significant activity no t prev iously re porte d to th e
IRS?
I f
Yes, provide
a
detailed
description o f
each activity i n Schedule
0
33
No
34
Were
any
significant
changes
made
to
th e organizing
or governing documents? I f
Yes, attach
a conformed
copy
No
o f the
amended documents i f
they r e f l e c t
a
change
t o
the
organization s name Otherwise,
explain the change on
34
Schedule
0
(see
instructions)
35 I f
the organization
had income
from
business
a c t i v i t i e s
such
as
those
reported on
l i n e s 2 6a, and 7a
among
others), but
not reported
on Form 990-T,
explain
i n Schedule
0
why the
organization
d i d n ot r epo rt the income on
Form
990-T
a
D id the organization
have
unrelated business gross income o f
1,000
o r more during the year from
business
activities
(such as
those
reported
on lines 2, 6a, and 7a,
among others)?
35a No
b If Yes to l i n e 35a, has
th e
organization f i l e d a Form 990-T fo r
th e
year?
If No,
provide
an explanation
i n
Schedule
0
35b No
c Was
th e
organization a
section 501(c)(4), 501(c)(5),
or 501(c)(6) organization subject to section
6033(e)
notice, reporting,
and
proxy ta x
requirements during
th e year?
I f Yes, complete Schedule
C, P ar t
III
35c No
36
D id the
organization
undergo
a
l i q u i d a t i o n
dissolution,
termination,
o r
significant
disposition
o f
net
assets during
the year?
I f
Yes,
complete
applicable parts
of Schedule
N
36
No
37a
Enter amount o f p o l i t i c a l expenditures,
d i r e c t
or i n d i r e c t as described i n the
i n s t r u c t i o n s
37a
b Did
the
organization f i l e Form 1120-POL fo r
this
year?
37b No
38 a
D id the organization
borrow
from, o r
make any
loans
t o an y o f f i c e r director,
trustee, o r key employee or
were
any such
loans made
i n
a p r i o r
y ea r a nd
s t i l l
outstanding a t
the
en d o f
the tax
year
covered by
t h i s
return?
38 a No
b
I f
Yes,
complete Schedule Part
II
and
enter the
t o t a l amount
involved 38 b
39 Section 501(c)(7) organizations. Enter
a I n i t i a t i o n fees
an d capital
contributions included on
l i n e
9
39 a
b
Gross receipts,
included
on l i n e 9
f o r
public us e o f club
f a c i l i t i e s
39b
40a
Section
501(c)(3) organizations. Enter amount
of
tax
imposed on
the
orga niza tion d uring
th e
year under
s e c t i o n
4911
O k
0
s e c t i o n 4912
I P P r
0
s e c t i o n 4955
O k
0
b
Section
501(c)(3) and 501(c)(4)
organizations.
Di d
th e organization
engage i n any
section
4958 excess
benefit
transaction
during
the
year o r d i d
i t engage
i n
an
excess benefit
transaction i n
a
p r i o r
year
that has not
been
reported on any
of
i t s prior Forms 990 or 990-EZ I f Yes,
complete Schedule
L
Part
I
40b
N
o
c
Section 501(c)(3)
and
501(c)(4) organizations Enter
amount of
ta x
imposed
on orga niza tion managers
or
disqualified persons
during
the
year
under
sections 4912, 4955, and 4958
d Section
501(c)(3) and 501(c)(4)
organizations Enter
amount of
ta x on l i n e
40c reimbursed
by the
organization
e
A l l
organizations.
At any
time
during
the tax year,
was
th e organization
a
party
to a
pro hi b it ed t ax
shelter
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17/39
Form 990-EZ
(2011
46
Di d
th e organization engage, directly o r i n di r ec t ly , i n p o l i t i c a l campaign a c t i v i t i e s on beha lf o f o r i n opposition t o
candidates f o r public
o f f i c e ?
I f Yes,
c o mp l e t e S ch e d u l e C, Part I
Page
No
No
Section 501 c)(3) organizations and s e c t i o n 4947(a)(1) nonexempt c h a r i t a b l e tr u s ts
o n l y.
A l l section 501(c)(3)
organizations
a n d section 4947(a)(1) nonexempt charitable trusts must answer questions
47 49b a n d 52 .
Check i f t h e o r g a n i z a t i o n
used
Schedule
0
to
respond
to
any
question i n
this
Par t
VI
Yes No
47
D i d
t h e o r g a n i z a t i o n engage in l o b b y i n g a c ti vi t ie s o r
have
a s e c t i o n 501(h e l e c t i o n in effect
d u r i n g
t h e t ax
year?
I f
Yes, complete Schedule
C Par t I I
47 No
48
Is
t h e o r g a n i z a t i o n a
school
described in s e c t i o n 170(b)(1)(A)(ii)'' If Y es , complete ScheduleE
48
No
49a D id t h e o r g a n i z a t i o n make any t ransf e rs to an
exempt
non charitable r e la t e d o r g a n i z a t i o n ?
49a
No
b
I f Yes, was t he r el at ed o r g a n i z a t i o n a s e c t i o n 527 o r g a n i z a t i o n?
49b
50
Complete
t h i s
table
f o r
th e
organization
s
f i v e
highest
compensated
e m p l o y e e s
(other than
o f f i c e r s ,
directors,
tr ustees
and
ke y
employees
who e a c h received more than 100,000 o f c o m p e n s a t i o n
from
t he organization
I f there
i s n on e, e nt e r None
(a ) Name and address of
each
employee
paid more
than 100,000
(b )
Title and
average
hours
pe r
week
devoted to posit ion
(c )
Compensation
(d ) Contributions
to
employee benefi t plans
d e f e r r e d
compensation
(e ) Expense
account and
o t h e r allowances
NON
f
T o t a l
number of o t h e r
employees
p ai d over
100,000
0 1 .
51
Complete t h i s table f o r th e
organization's
f i v e highest compensated i n d ep en d en t contractors who e a c h received more than
100,000
o f c o m p e n s a t i o n
from
th e organization
I f
ther e i s n on e, e nt e r None
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
18/39
l efile
GRAPHIC
p
rint - DO NOT PROCESS As Filed
Data
- DLN: 93492134011773
SCHEDULE A
P u b l i c Charity
Status
a nd P u b l i c
Support
OMB
No 1545-0047
F or m 990 o r
Complete
i f
the
organization
is a
section
501 c) 3) organization
or
a
section
2 0 1 1
90EZ)
4947
a ) 1)
nonexempt c h a r i t ab l e trust.
D e p a r t m e n t
o f
t h e T r e a s u r y
I n t e r n a l Revenue
S e r v i c e
Name
o f th e organization
WEST
HEMPSTEAD ROTARY FOUNDATION
Employ er
identification number
27 598339
NUTZ
Reason
for
Public Charity Status
A l l
org niz tions
must
complete this part.)
See Instructions
Th e
organization
i s no t a private foundation beca use i t i s Fo r l i n e s 1 through
11,
check only on e box
1
A
church,
con v en t ion
o f
churches, o r association
o f churches section
170
b) 1) A) i).
2
A s ch oo l de s cr ibe d i n section 17 0
b) 1) A) ii).
Attach Sch edu l e
E
3
A h o s p i t a l
or a
cooperative h os pi t a l s e r v i ce o r ga n i za t i on described
i n section 170
b) 1) A) iii).
4 A medical research o r g a n i z a t i o n operated in conjunction with a h os pi t a l described in
section
170
b) 1) A) iii).
Enter t h e
hos pi t a l s
name, city, and
s t a t e
5
A
n
o r g a n i z a t i o n operated
fo r
t h e be ne fi t
of a
college
or
u n i v e r s i t y
owned or
operated by
a governmental unit
described
in
section
170 b) 1) A) iv . Complete P ar t I I
6 A f e d e r a l ,
state,
o r l o ca l government o r go v e rnme nt a l
u n i t described
i n section 17 0
b) 1) A) v).
7
An organization that n or m al l y r e ce i v es a substantial
part o f
i t s
support
from
a go v e rnme nt a l
u n i t
o r
from th e general
public
described i n
section 170
b) 1) A) vi
Complete Part I I
8 A community t r u s t described
in
section 170 b) 1) A) vi Complete Part I I
9
F
An organization that n or m al l y r e ce i v es
1
mo re t h a n 331/3
o f
i t s s u pp or t f ro m contributions, membership fees, a n d g ros s
receipts from activities
related
t o
i t s
exempt functions-subject t o certain e x ce p ti o ns , a n d 2
no
mo re t h a n 331/3
o f
it s support from gross investment
income
and u n r e l a t e d business
t a x ab l e
income
le s s section 511 t ax) from businesses
acquired by t h e o r g a n i z a t i o n
af te r
June 30, 1975 See
section 509
a) 2). Complete P ar t III
10
An
o r g a n i z a t i o n organized and operated e x c l u s i v e l y to t e s t
for
public s a f e t y Seesection 509 a) 4).
11
An o r g a n i z a t i o n
organized
and operated e x c l u s i v e l y
for
t h e be ne fi t
o f ,
to perform t h e f u nc t i o n s
o f , or
to car r y
ou t
t h e
purposes of
one or
more
publicly
supported
o r g a n i z a t i o n s described i n section
509 a) 1)
or section
509 a) 2) See
section
509
a) 3). Check
t h e
box
t h a t
describes
t h e
type of supporting
o r g a n i z a t i o n and
complete lines 11e through 11h
a Type
I
b
Type
I I c
Type
III -
F u nct i on a l l y i n t eg r a te d d
Type
III - Other
e F By
checking
this
box,
I
certify
t ha t t he o r g a n i z a t i o n is n ot controlled d ir e ct l y o r i n di r ect l y
by
one or
more
disqualified
persons
o t h e r
than found tion managers
and o t h e r
than
one
or
more
publicly supported
o r g a n i z a t i o n s described
in section 509 a) 1) or
s e c t i o n
509 a) 2)
f I f t h e o r g a n i z a t i o n received a wr i t t e n determination from t h e IRS t h a t i t is a Type I , Type I I or Type III supporting o r g a n i z a t i o n ,
check
this box
F
g Since
August
17 , 2006,
h s
t h e o r g a n i z a t i o n accepted any g i f t
or
contribution from any
of
t h e
following pe r so ns?
i a
p er son
who directly o r indirectly co ntro ls , e i th e r alone o r together with
p er son s
described i n i i
Ye s
o
Attach
to Form
990
or
Form 990-EZ.
See
separate i n s t r uct i on s .
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19/39
Schedule A
(Form
990
or
990-EZ) 2011
Page
2
Support Schedule
for
Organizations
Described
i n
IRC
170(b
) 1)(A)(iv) and 170 b)(1)(A)(vi)
(Complete only i f y ou he ked
the bo x
on
l i n e
5 ,
7 ,
or 8 of P art
I
or i f
the organization f a i l e d t o
qualify
under Part I I I . I f the
organization
f a i l s
t o
qualify under
the
tests
l i s t e d
below, plea se complete Part
I I I . )
Section A Public Support
Calendar year (or fisc al year eginning
(a )
2007 (b) 2008
(c)
2009 (d) 2010 (e) 2011
(f)
Total
in )
1 G i f t s ,
grants,
contributions, and
membership fees received (D o not
include
a n y un us ua l
gr ants
)
2 Ta x revenues levied
f o r
the
organization s
benefit a nd
either
paid t o o r
expended on i t s
behalf
3 Th e value o f services
o r
f a c i l i t i e s
furnished
by a governmental u ni t t o
the organization without
charge
4 Total Add
l i n e s
1 through 3
5 Th e portion o f
t o t a l
contributions by
each person (other than a
governmental u ni t o r
publicly
supported
organization) included on
l i n e 1 that
exceeds
2
o f
the
amount shown on
l i n e
11,
column
f
6 Public Support
Subtract l i n e 5 from
l i n e 4
Section
B .
Total
Support
Calendar
year
(or fisc al year
eginning
(a )
2007 (b) 2008
(c)
2009 (d) 2010 (e) 2011
(f)
Total
i n )
7
Amounts
from l i n e
4
8 Gross
income
from interest,
dividends,
payments re eived on
securities
loans, rents, royalties
and
income
from
similar
10
11
12
sources
Ne t
income from
unrelated
business
a c t i v i t i e s , whether o r
n ot the
business i s
regularly
carried on
Other income (Explain
in P art
IV
Do not include gain or loss
from
th e
sale
of
capital assets
Total support
(Add lines 7
through 10)
Gross receipts from related a c t i v i t i e s , etc (See instructions
12
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20/39
Schedule A (Form
990
o r
990-EZ) 2011
Page 3
OT
Support Schedule for
Organizations
Described
in
IRC 509(a)(2)
(Complete only i f y ou checked the bo x
on l i n e
9
of
Part
I or
i f the
organization
f a i l e d
t o
qualify
under
Part I I . I f the
organization
f a i l s
t o
qualify under the tests l i s t e d
below,
please complete Part I I .
Section A Public Support
Calendar year or fiscal year beginning
a)
2007 b) 2008
c)
2009
d)
2010
e)
2011
(f )
Total
i n
1
G i f t s ,
grants
contributions, an d
membership fees received
Do
n ot
60 8
43,207 31,645 75,460
include an y
unusual
grants )
2
Gross
receipts
from admissions,
merchandise sold o r services
performed
o r f a c i l i t i e s furnished
i n
an y activity that
i s
related t o the
organization s tax-exempt
purpose
3 Gross receipts from activities that
are n ot an unrelated
trade
o r
business
under section
513
4 Tax revenues
levied
f o r the
organization s benefit
an d
either
paid
t o o r
expended on i t s
behalf
5 The value o f services o r f a c i l i t i e s
furnished
by a governmental u n i t t o
the organization without charge
6 Total Add lines 1 through
5
60 8 43,207 31,645 75,460
7a Amounts i ncluded o n
l i n e s 1 , 2 ,
an d 3 received from
disqualified
persons
b Amounts i ncluded o n
l i n e s 2 an d 3
received from
other
than
disqualified persons that exceed
the
greater
of 5,000 or
of the
amount on l i n e 13 f o r the year
c Add l i n e s
7a
an d
7b
8 Public
Support
Subtract l i n e 7c
75,460
from l i n e
6
)
Section B.
Total
Support
Calendar year o r f i sc a l year beginning
i n
9 Amounts
from
l i n e
6
10a
Gross income from interest,
div idends, payments
received on
s e cu ri t i es l oa n s ,
rents, royalties
and
income from
similar
sources
b
Unrelated
business taxable
(a) 2007 b)
2008
(c)
2009
(d)
2010
(e) 2011 (f )
Total
60 8 43,207 31,645 75,460
0
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Schedule A
Form 990
o r
990-EZ
2011
Page 4
W
upplemental
Information
Supplemental nformation Complete this part to provide t he explanation
r eq ui re d b y
Part I I
l i n e
1 0; Part I I
l i n e
1 7a or
17b;
or Part I I I l i n e 1 2
Also
complete
t h i s
part f o r any
additional
information. S ee
instructions .
Facts And Circumstances
Test
Explanation
Schedule A Form
990
or
990
-EZ
2011
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22/39
efile GRAPHIC
p
rint DO NOT PROCESS As Filed Data
DLN:
93492134011773
SCHEDULEG
Supplemental Information Regarding
OMB No 1545-0047
(Form 990 o r
990-EZ)
F u n d r a i s i n g o r Gaming A c t i v i t i e s
2 11
Complete
i f
t h e o r g a n iz a t io n answered Yes
to
Form 990, Part I V lines 17
18,
o r
19,
Department of t h e Treasury
o r i f
t h e o r g a n iz a t io n
e n t e r e d more than 15 000
on Form
990-EZ, l i n e
6a .
Op
en to
Public
I n t e r n a l
Revenue
Service
Attach
to Form 990 or Fonn 990
EZ .
l i k
See separate instructions.
Inspection
Name o f th e
organization
WEST HEMPSTEAD
ROTARY
FOUNDATION
E m p l o y e r
identification number
27 1598339
Fundraising A ct i v i t i es
Complete
i f the
organization
answered
Yes
t o Form 990, Part IV, l i n e 1 7 .
1
Indicate
whether
the organization
raised
funds
t hr o ug h a ny o f
th e
f o l l owing activiti es
Check a l l that apply
a
Mail
solicitations e
Solicitation o f
n o n - g o v e r n m e n t grants
b
Internet
and
e-mail
solicitations
f
Solicitation o f
ov rnm nt grants
c
Ph on e solicitations g
Special
fundraising
events
d
I n - p er s on
solicitations
2a Did
th e organization
have
a written
o r o r a l
a g r e e m e n t with
any
individual (including
o f f i c e r s ,
directors, trustees
o r
key
employees
listed
in
Form 990, Part
VII
o r e nt it y
in
connection with
p r o f e ss io n a l f u n dr a i si n g s e rv i c es
Yes
No
b I f Yes, l i s t the t e n
hi h st
p a i d i n d iv i du a l s o r e n ti t ie s (fundrais ers) pursuant to agreements under which the f u n d r a i s e r is
to
b e
compensated at
least
5,000
by t he
o r g a n i z a t i o n Form
990-EZ
f i l e r s ar e
n o t
required to complete
this
t a bl e
i Name and address
o f
individual
o r e nt it y f u n d r a i s e r )
ii
Act i vi t y
i i i D i d
f u n d r a i s e r
have
custody o r
c o n t r o l
o f
c o n t r i b u t i o n s ?
(iv) Gross
r e c e i p ts
from
ac tivi ty
v) Amount
paid to
o r r e t a i n e d
by )
f u n d r a i s e r
listed in
co l
i
(vi)
Amount
paid to
(o r r e t a i n e d
by )
o r g a n i z a t i o n
Yes No
otal
3
L i s t
a l l states
i n which
the organization i s
registered
o r licensed t o
s o l i c i t
funds o r ha s b e e n n o t i f i e d i t i s
exempt
f r o m registration o r
licensing
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Schedule
G Form
990
or
990-EZ 2011 Page 3
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24/39
11 Does th e organization operate
gaming activities
with nonmembers ?
es
o
12 Is
th e organization
a
grantor
beneficiary or
trustee
of a trust or a member of a
partnership
or
other
entity
formed
t o
administer charitable gaming?
es
No
13 Indicate th e
percentage of gaming activity
operated i n
a The organization's facility
13a
b
An
outside facility 13b
14
Provide
th e name and
address of
th e person
who prepares
th e
organization's
gaming/special events
books
and
re ords
me
Address
15a Does
th e organization
have a ontr t with a third
party
from whom
th e organization
re eives gaming
revenue
r-
Yes
r-
No
b I f
Yes, enter th e
amount of gaming revenue re eived
by the organization
and th e
amount
o f
gaming revenue r et aine d by the t h i r d party
C I f Yes, enter name
and
address
me
Address
16 Gaming manager information
me
Gaming manager
compensation
l l i k ^
Description
o f
services provided
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
25/39
efile GRAPHIC
p
rint DO NOT PROCESS As Filed Data DLN: 93492134011773
S HE ULE
OMB No 1545 0047
F o r m 9 9 0
o r
9 9 0
Supplemental Information
t o
Form
990
or 990 EZ
2 11
EZ
Complete provide
information
f or responses
t o specific
questions on
Form
990
or t o provide
any
a dd i t i o n a l information
Open to
Public
D e p a r t m e n t
o f
th e T r e a s u r y
1 - Attach to Form 990
or
990 EZ.
Insp
ection
n t e r n a l Revenue
S e r v i c e
Name
o f th e organization
WEST HEMPSTEAD
ROTARY FOUNDATION
Employer
identification number
27 1598339
I d e n t i f i e r Return Explanation
R e f e r e n c e
Form
990 EZ
P a r t
L i n e
1 0
Grants
P a i d
A c t i v i t y GENERAL SUPPORT Grantee NEW
YORK
ASIAN WOMENS
CENTER 39
BOWERY
NEW
YORK
NY 10002
Cash
Grant 1 0 0 0 0 R e l a t i o n s h i p
Form
990 EZ P a r t
L i n e
1 6 Other
Expenses
Bank charges 1 6
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
26/39
Additional Data
Software ID: 11000218
Software
Version
2011.0.0
EIN: 27 -1598339
Name WEST HEMPSTEAD ROTARY FOUNDATION
Form
990EZ,
Part IV List of
Officers,
Directors, Trustees, and
Key
Employees
A)
Name and address
Title
and average
C
Compensation
D
Contributions
to E
Expense
hours
pe r
week I f
not
paid, employee
b enef it p lan s
account
and
devoted to
position
enter
0 . other
allowances
deferred
compensation
RONY KESSLER TRE SURER
002
00 0
861
HEMLOCK
STREET
FRANKLIN SQU RE NY 11010
HOW RD
ROBINS PRESIDENT
002 00
0
2029
V LENTINES RO D
WESTBURY NY
11590
S NDR
S LMON
V PRES
002
00 0
191
BERRYHILL COURT
WEST
HEMPSTE D NY 11552
LEO MON H N SECY
002
00
0
C/O
UBS 333
EARL OVINGTON BLVD
MITCHELL FIELD, NY 11553
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
27/39
l
efile
GRAPHIC
p
rint - DO
NOT PROCESS
As
Filed Data
-
DLN: 93492133031224
Short F o rm
OMB
No
1545-1150
990
.EZ
Return o f Organization Exempt F r om I ncome T ax 2012
Form
Under section
50 1 c ) ,
52 7, o r
4947
a)(1) of the Internal Revenue Code
(except
b la ck l un g
benefit trust
o r p ri v at e
foundation)
0 -
Sponsoring organizations
o f donor advised funds,
organizations
t h a t
operate
on e or mor e
h o s p i t a l f c i l i t i e s a nd
D e p a r t m e n t
o f th e
T r e a s u r y
c e r t a i n
c o n t r o l l i n g
or ga n iz a ti ons a s d ef i ned
i n
s e c t i o n 512(b)(13) must
f i l e
Form 99 0 (see
i n s t r u c t i o n s )
_
A l l other
organizations
with
gross
r e c e i p t s l e s s than 200,000 a nd t o t a l
assets
l e s s
than
500,000 a t th e en d o f th e
I n t e r n a l
Revenue
S e r v i c e
year
may us e t h i s form
1 - Th e
organization
may have
to us e
a copy of t h i s r e t u r n t o s a ti s f y s t at e r e p or t i n g
requirements
A For the 2012
calendar
year
or tax year beginning
07 -01-2012 and
ending
06-30-2013
B
Check
i f applicable
C Name o f organization D Employer
identification
number
IlAddr e ss c ha ng e
WEST
HEMPSTEAD
ROTARY FOUNDATION
27-1598339
I Name
c ha ng e
Number a nd s tr e e t o r
P 0 box,
i f
mail
i s
not delivered to
s t r e e t address)
Room/suite
E
Telephone
number
F
I n i t i a l r e t u r n
86 1 HEMLOCK
STREET
r-Terminated
(516)
538-8515
F Amended
r e t u r n
C i t y or
town, s t a t e
or country,
a n d
ZI P +
4
F Group
Exemption
FRANKLIN SQUARE,
NY
11010
Number
1 -
IlApplication
pending
H
Check
1 -
f
th e
organization
i s
not
G Acco u nting
Method F'Cash r Accrual
O t h e r
(specify)
0 -
required
t o
attach
S ch edu le
B
(Form 990, 990-EZ,
or
990-PF)
I
Web site:
N I A
3
Ta x
- exempt
s ta tu s (check only one)-I_ 501(c)(3)9fl
501(c)( A(insert no )fl 4947(a)(1)
or
r-
52 7
K Check
0 - 1
i f th e organization
i s
no t a section 509(a)(3)
supporting
organization or a section 527 organization a n d i t s
gross
receipts ar e
normally
not
more than 50,000 A
Form 990-EZ or
Form 990
return
i s no t
required
th o u g h Form
990-N
(e-postcard)
may b e r eq ui re d ( se e
instructions) Bu t i f th e organization c h o o s e s
t o
f i l e
a
r e t u r n ,
be
sure
t o
f i l e
a
complete return
L Add l i n e s 5b, 6c , a nd 7b ,
t o
l i n e 9
t o
determine gross receipts I f
gross
r ec ei pt s a re 200,000 or
more,
or i f t o t a l assets (Part I I, l in e 25 ,
col umn B ) below)
ar e
500,000
or
more, f i l e Form 990
instead
o f Form
990-EZ 75,158
Revenue Expenses and Changes i n Net
Assets
or Fund
Balances
s e e t he i ns tr u c t i on s f o r P a r t I
Check i f th e organization
u s ed S ch e du l e
0
t o
respo nd
t o
a ny
question
i n t h i s Part I . . . . . . . . . . . . . . . . . . .
1 Contributions, g i f t s , grants, a nd similar
amounts received
. . . . . . . . . . . . . . . 1 35 861
2
P r o g r a m service rev enu e including government fees a nd contracts .
. . . .
.
. . . .
.
. 2
3
Membership due s a nd assessments . . . . . . . . . . . . . . . . . . . . . .
3
4 I n v es t me n t i n c ome
. .
. .
. .
. .
. .
.
. . . .
.
. . . .
.
. . . . . . 4
5a
Gro ss
amount from
sale
o f assets o th e r t ha n inventory . . . . .
5a
? D
b
Less
cost
or
other basis
and
sales expenses
. . . . . . . . . .
5b
1
a
c Gain o r ( lo ss)
from sale o f
assets
o t he r t ha n
i n v en t or y (Su bt r a c t l i n e 5b
from
l i n e 5a
..
Sc
C D
-
8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
28/39
Form
990-EZ
2012
Page
2
Balance Sheets se e t he instr u c ti o ns
f o r
Part
I I )
Check i f the
organization
u s ed S c h ed u le
0
t o respond t o
a n y
question i n t h i s Part II I
22
Cash,
savings,
a n d
investments
23 Land
a n d
buildings
24
Other
assets
describe
i n Schedule
0
25
Total assets
26 Total l i a b i l i t i e s describe i n Schedule 0)
27
N et a ss et s
or fund
balances l i n e 27 o f
c olumn
B) must
agree with
l i n e
21
A)
Beginning o f
year
B) En d o f
year
57 856 22 67 486
23
24
57 856
25
67 486
26
57 856 27 67 486
1 : M - O i l i
Statement of Program Service
Accomplishments
se e t he i n st r uc t io n s f o r P a r t I I I
Expenses
Check i f
the
organization
u s ed S c h ed u le
0
t o
respond
t o
a n y q ue st i on i n t h i s Part
I I I
Required f o r section 501
What
i s
the
organization s
primary exempt purpose?
c) 3)
a n d 5 01 c ) 4 )
ASSISTANCE AND COMMUNITY SUPPORT
organizations
a n d
section
4947 a) 1)
trusts,
Describe
t he org an iz at i o n s
p r o g r a m
service accomplishments f o r each o f it s
three
largest
p r o g r a m
servi ce s, as
optional
f o r others
measured by expenses
In a clear a n d c o nc i se manner, describe the services
provided,
th e
number o f
persons
benefited,
a n d other relevant information
f o r
ea ch pr og ra m
t i t l e
28 ASSISTANCE AND SUPPORT TO
MEMBERS OF
THE WEST
HEMPSTEAD
COMMUNITY
Grants 57 370 If t h i s amount
includes foreign
grants,
c he ck here
0 -
28 a
1 8 7
29
Grants If t h i s amount
includes foreign
grants,
c he ck here
0 -
-
29 a
30
Grants If t h i s amount
includes foreign
grants,
c he ck here
0 -
-
30a
31 Other
p r o g r a m
servi ces des cr i b e i n Schedule O
Grants
If t h i s amount
includes foreign
grants,
c he ck here
0 -
31 a
32
Total
program
service
expenses
ad d
l i n e s 28a through 31a)
32 187
List
o f Officers , D i r e c t o r s , Trustees
and
Key Employees
L i s t
each
o ne e ve n
i f no t compensated se e t he i n s t r u c t i o n s f o r P a r t I V )
Check
i f t he
o r g a n i z a t i o n
used
Schedule
0
to respond to any question in this P a r t
I V.
a)
Name a n d t i t l e
b
Average
c)Reportable d) Health
benefits,
e ) Estimated amount
hours per week c ompe ns a t i o n
contributions
t o o f other c ompe ns a t i o n
devoted t o position Forms W-2/
1099-
employee benefit plans,
MISC if
not
paid, a nd
deferred
enter -
0 - )
c ompe ns a t i o n
RONY KESSLER
002
00 0
TREASURER
Form 990-EZ (2012)
Page 3
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
29/39
Z
ther
Information (Note t h e S ched ul e A and personal b e n e f i t contract statement requirements
i n
t h e
instructions f o r Part V
Check i f the
organization
u s ed S c he du l e
0
t o respond t o
any
question n t h i s
Part
V F
Yes No
33
Di d
the
organization
engage n
any
significant
activity not
previously reported
t o the IRS? I f
Yes,
provide a
detailed description o f each activity i n Schedule
33 No
4
Were any
significant changes
made t o the
organizing or
governing
documents?
I f
Yes, attach
a c o nformed c o p y
o f the amended
documents
i f they r e f l e c t a change t o the organization s name
Otherwise,
explain the change
on
Schedule
(see
instructions)
4
No
35a Di d the
organization
have unrelated
business
gross income o f 1,000 or more
during
the
year
from
business
activities (such
as
those
reported on l i n e s
2 ,
6a,
an d
7a , among others ) ?
35a No
b
I f
Yes,
t o l i n e 3 5a, has the
organization
f i l e d a Form 990-T f o r the year? I f
No, provide
a n e x p l a n a t i o n i n S c h e d u l e
0
35 b
c Was the organization a section
501
c ) 4 ) ,
501 c ) 5 ) ,
or 501(c)(6)
organization subject t o section
6033 e)
notice, reporting,
a nd p rox y tax requirements
during
the year? I f
Yes,
c o mp l ete S c hed u l e
C, Part
I I I
35c No
36 Di d the
organization
undergo a l i q u i d a t i o n , dissolution,
termination,
or significant
disposition
o f
net
assets
during
the year?
If Yes, complete
applicable parts
o f Schedule
N
36 No
37a
Enter
amount o f
p o l i t i c a l expenditures,
d i r e c t o r
i n d i r e c t , as described i n the
i n s t r u c t i o n s
0 -
37a
b Did
the
organization f i l e
Form 1120 -POL f or t hi s year? 37 b No
38a Di d the organization
borrow
from,
or
make
any
loans
t o , any
o f f i c e r ,
director,
trustee, or
ke y
employee or
were
any
s uch loans made n a p r i o r
y ear and
s t i l l outstanding
a t
the
end o f
t he tax
year
covered
by
t h i s
return? 38a
No
b
I f
Yes,
c o mp l ete S c hed u l e
L , Part
I I an d enter the t o t a l
amount involved
38 b
39 Section 501(c)(7)
organizations
Enter
a I n i t i a t i o n fees
an d
capital contributions included on
l i n e
9
39a
b
Gross
receipts, inc l uded on
l i n e 9 , f o r public use
o f club
f a c i l i t i e s
39 b
40a Section 501(c)(3)
organizations
Enter
amount o f
tax
imposed on
the
organization during
the year under
s e c t i o n
4 9 1 1 1 1 1 1 1 1 1
0
s e c t i o n 4912
P P r
0
s e c t i o n
4955
0
b
Section
501(c)(3) and 501(c)(4)
organizations
Did
the organization engage
i n
any
section 4958 excess benefit
transaction during the year, or d i d
i t
engage i n an excess benefit transaction i n a p r i o r
year
that has not been
reported on
any
o f i t s p r i o r Forms
990
or 990-EZ?
I f
Yes,
c o mp l ete S c he d u le
L ,
Part 40b
No
c
Section 501(c)(3) and 501(c)(4)
organizations
Enter
amount
o f tax
imposed on organization
managers
or
disqualified
persons
during
the year
under
sections 4912, 4955,
an d
4958
d
Section 501(c)(3) and 501(c)(4)
organizations
Enter
amount
o f
tax on
l i n e
40c reimbursed by the organization
e
A l l organizations At
any
time during the tax year, wa s the organization a party
t o
a prohibited tax shelter
40 e
No
transaction? I f
Yes,
complete
Form 8886-T
41
L i s t
the
s t a t e s
with
which
a
copy
o f
t h i s
r e t u r n
i s
f i l e d
J P r
N Y
42a
The organization s
books
are i n care
ofd
RONY
KESSLER
Telephone no
l k
(516) 538-8515
Located ate
86 1
HEMLOCK STREET
FRA N K L IN S Q UAR E ,
N Y
ZIP 4
11010
Form 990-EZ
(2012)
Page
4
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8/10/2019 West Hempstead, NY Rotary Foundation IRS 990s, 2011-2013
30/39
No
46
Di d
the
organization
engage, directly
or i n d i r e c t l y , i n
p o l i t i c a l
campaign
activities on
behalf
o f
or
i n opposition t o
candidates f o r public o f f i c e ?
I f Yes,
c o mp l e t e S c he d u l e C , P ar t I
46
No
Milil i
Section
501
c)(3)
organizations o n l y
A l l
section 501(c)(3) organizations
must
answer questions 47 49b a n d 52, a nd c o mp l et e the
tables
f o r l i n e s 50
a n d 51
Check i f the organization u s e d
S c h e d u l e
0
t o r e s po n d t o any question i n t h i s Part VI
Yes
No
47 Di d the organization e n g a g e lobbying activities
or
h a v e a s ection 501(h) election i n e f f e c t
during
t he t ax y ea r?
I f
Yes,
c o mp l et e Sc h e du l e
C, Part I I
47 No
48 I s the organization a s c