FORM 1023-EZ for ROOTED INC

Field Data
EIN 85-3539759
Case Number EO-2020308-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOTED INC
Organization’s Mailing Address 156 MARY STREET
City SULLIVAN
State MO
ZIP 63080
Accounting period End 12
Primary contact name SHAE REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAE REED
VICE PRESIDENT
156 MARY STREET
SULLIVAN MO 63080

Officer/Director/Trustee Two

TIFFANY REDD
PRESIDENT
15126 HAMILTON HOLLOW
SULLIVAN MO 63080

Officer/Director/Trustee Three

JASMINE WERLEY
SECRETARY
1015 ELMONT RD
SULLIVAN MO 63080

Organization’s website
Organization’s email ROOTEDINC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAE REED
Signature Title VICE PRESIDENT
Signature Date 11/1/2020

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