FORM 1023-EZ for ROAD WORTHY USA

Field Data
EIN 87-0932898
Case Number EO-2021202-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROAD WORTHY USA
Organization’s Mailing Address 110 W 66TH TERRACE
City KANSAS CITY
State MO
ZIP 64113
Accounting period End 12
Primary contact name MICHELLE A ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SEWELL
PRESIDENT
110 W 66TH TERRACE
KANSAS CITY MO 64113

Officer/Director/Trustee Two

VERONIKA BOOS
VOTING BOARD MEMBER
110 W 66TH TERRACE
KANSAS CITY MO 64113

Officer/Director/Trustee Three

PHILLIP CAGLE
VOTING BOARD MEMBER
110 W 66TH TERRACE
KANSAS CITY MO 64113

Officer/Director/Trustee Four

ANTONIO LEE
VOTING BOARD MEMBER
110 W 66TH TERRACE
KANSAS CITY MO 64113

Officer/Director/Trustee Five

AMY LEE SEWELL
VICE PRESIDENT
110 W 66TH TERRACE
KANSAS CITY MO 64113

Organization’s website WWW.ROADWORTHUSA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2021
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P52 - Transportation, Free or Subsidized
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 MICHAEL SEWELL
Signature Title PRESIDENT
Signature Date 7/19/2021

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