FORM 1023-EZ for GRASSROOTS MEDIA GROUP INC

Field Data
EIN 84-1958214
Case Number EO-2020023-000301
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRASSROOTS MEDIA GROUP INC
Organization’s Mailing Address 604 EAST 96TH STREET
City BROOKLYN
State NY
ZIP 11236
Accounting period End 12
Primary contact name SHARI LOGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARI LOGAN
PRESIDENT
604 EAST 96TH STREET
BROOKLYN NY 11236

Officer/Director/Trustee Two

MICHAEL HOWARD
SECRETARY
216 ROCKAWAY AVENUE 23K
BROOKLYN NY 11233

Officer/Director/Trustee Three

CAROLYN JENKINS
TREASURER
241 WINTHROP STREET
BROOKLYN NY 11225

Officer/Director/Trustee Four

MILTON ALLIMADI
MEMBER
2429 SOUTHERN BOULEVARD 2
BRONX NY 10458

Officer/Director/Trustee Five

DANA DRISKELL
MEMBER
1330 PACIFIC STREET
BROOKLYN NY 11216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2018
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
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 SHARI LOGAN
Signature Title PRESIDENT
Signature Date 1/21/2020

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