FORM 1023-EZ for GIRLZ ROCK INC

Field Data
EIN 46-4839633
Case Number EO-2017261-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIRLZ ROCK INC
Organization’s Mailing Address 6920 CHADWICK DR
City FORT WAYNE
State IN
ZIP 46816
Accounting period End 12
Primary contact name DENITA WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENITA WASHINGTON
PRESIDENT
6920 CHADWICK DR
FORT WAYNE IN 46816-4106

Officer/Director/Trustee Two

AMINAH ROSA
TREASURER
2102 S CALHOUN ST
FORT WAYNE IN 46802

Officer/Director/Trustee Three

KELA GUY
SECRETARY
9413 CHAPMANS BLVD
FORT WAYNE IN 46835-9111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2013
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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