FORM 1023-EZ for ROLL STRONG

Field Data
EIN 86-3009790
Case Number EO-2021102-000687
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROLL STRONG
Organization’s Mailing Address 1700 NW 97TH AVE
City DORAL
State FL
ZIP 33172
Accounting period End 3
Primary contact name SHANE MOSKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE MOSKO
PRESIDENT
1036 NW 87TH AVE
DORAL FL 33172

Officer/Director/Trustee Two

LYNETTE MARTINEZ
CO-FOUNDER
1036 NW 87TH AVE
DORAL FL 33172

Officer/Director/Trustee Three

ELODIE TOMSON
VICE PRESIDENT
15562 SW 163RD ST
MIAMI FL 33187

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 SHANE MOSKO
Signature Title PRESIDENT
Signature Date 4/1/2021

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