FORM 1023-EZ for VICTORIOUSROOTS FBO

Field Data
EIN 82-3597362
Case Number EO-2018024-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VICTORIOUSROOTS FBO
Organization’s Mailing Address 735 WEST HURON PO BOX 431996
City PONTIAC
State MI
ZIP 48343
Accounting period End 12
Primary contact name VICTORIA BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICTORIA BARNES
FOUNDER YOUTH COORDINATOR
286 TOM AVE
PONTIAC MI 48341

Officer/Director/Trustee Two

PERRY BARNES
FOUNDER PROJECT MANAGER
286 TOM AVE
PONTIAC MI 48341

Officer/Director/Trustee Three

PERI LOREN BARNES
SOCIAL MEDIA MANAGER
286 TOM AVE
PONTIAC MI 48341

Organization’s website VICTORIOUSROOTS.ORG
Organization’s email VICTORIOUSROOTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Correctness Declaration Yes
Signature Name PERRY BARNES
Signature Title FOUNDER PROJECT MANAGER
Signature Date 1/22/18

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