FORM 1023-EZ for GRASSROOTS ICC
| Field | Data |
|---|---|
| EIN | 82-5301029 |
| Case Number | EO-2018135-000448 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GRASSROOTS ICC |
| Organization’s Mailing Address | 9819 SOUTH BLVD |
| City | CLEVELAND |
| State | OH |
| ZIP | 44108 |
| Accounting period End | 12 |
| Primary contact name | LILLIAN SHARPLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LILLIAN SHARPLEY
EXECUTIVE DIRECTOR
9819 SOUTH BLVD
CLEVELAND OH 44108
Officer/Director/Trustee Two
KIMBERLY WILLIAMS
BOARD PRESIDENT
2915 STONEWATER DRIVE
NAPERVILLE IL 60564
Officer/Director/Trustee Three
TANIKKA PRICE BEN HAIM
SECRETARY
2899 TEMPLETON ROAD
COLUMBUS OH 43215
Officer/Director/Trustee Four
FRANCIS DECKER
TREASURER
9819 SOUTH BLVD
CLEVELAND OH 44108
| Organization’s website | GRASSROOTSICC.ORG |
|---|---|
| Organization’s email | GRASSROOTSICC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/1/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T50 - Philanthropy, Charity, Voluntarism Promotion, General |
| 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | Yes |
| 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 | LILLIAN SHARPLEY |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 5/10/18 |
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