FORM 1023-EZ for FIVE FIFTHS ROOTS INCORPORATED

Field Data
EIN 82-4865413
Case Number EO-2018108-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIVE FIFTHS ROOTS INCORPORATED
Organization’s Mailing Address 9 ATHENS STREET
City TRAVELERS REST
State SC
ZIP 29690
Accounting period End 12
Primary contact name TRACY BOWEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY BOWEN
PRESIDENT
9 ATHENS STREET
TRAVELERS REST SC 29690

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACY BOWEN
Signature Title PRESIDENT
Signature Date 3/20/18

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