FORM 1023-EZ for PROJECT ROTH

Field Data
EIN 81-4975041
Case Number EO-2017017-000549
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT ROTH
Organization’s Mailing Address 806 GLENDALE DR
City KELLER
State TX
ZIP 76248
Accounting period End 12
Primary contact name JENNIFER BECKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER BECKLEY
DIRECTOR
806 GLENDALE DRIVE
KELLER TX 76248

Officer/Director/Trustee Two

MANDEE EANES
DIRECTOR
10117 PAINTBRUSH DRIVE
KELLER TX 76244

Officer/Director/Trustee Three

SPENCER ROESSNER
DIRECTOR
1721 QUEENSGATE DRIVE
KELLER TX 76248

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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