FORM 1023-EZ for 605 ROOTS

Field Data
EIN 85-3919932
Case Number EO-2021083-000960
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 605 ROOTS
Organization’s Mailing Address 213 S SUNSHINE AVE
City BRANDON
State SD
ZIP 57005
Accounting period End 12
Primary contact name JOSH EGGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH EGGERS
DIRECTOR
213 S SUNSHINE AVE
BRANDON SD 57005-1695

Officer/Director/Trustee Two

JENNY EGGERS
DIRECTOR
213 S SUNSHINE AVE
BRANDON SD 57005-1695

Officer/Director/Trustee Three

ESTHER HOMANDBERG
DIRECTOR
642 120TH AVE
SLAYTON MN 56172-1929

Officer/Director/Trustee Four

SARAH LAVIN
DIRECTOR
7911 S ASPEN GLEN DR
SIOUX FALLS SD 57108-8696

Officer/Director/Trustee Five

CHRIS VANLAECKEN
DIRECTOR
2717 SUNFLOWER ST
BRANDON SD 57005-6706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2020
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and 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 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 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 JOSH EGGERS
Signature Title DIRECTOR
Signature Date 11/17/2020

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