FORM 1023-EZ for ROXBURY COMMUNITY SERVICES

Field Data
EIN 87-1923524
Case Number EO-2021214-000773
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROXBURY COMMUNITY SERVICES
Organization’s Mailing Address 7455 FRANCE AVE S UNIT 175
City EDINA
State MN
ZIP 55435
Accounting period End 12
Primary contact name HIBA HASHI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HIBA HASHI
DIRECTOR
7455 FRANCE AVE S APT 175
EDINA MN 55435

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 HIBA HASHI
Signature Title DIRECTOR
Signature Date 8/1/2021

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