FORM 1023-EZ for ROOTEDWELL

Field Data
EIN 84-5020176
Case Number EO-2020101-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOTEDWELL
Organization’s Mailing Address 1823
City KELLER
State TX
ZIP 76248
Accounting period End 12
Primary contact name MELISSA RUIBAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA RUIBAL
BOARD MEMBER
1401 CALDWELL CREKK DR
COLLEYVILLE TX 76034

Officer/Director/Trustee Two

CASEY ROBERTS
BOAD MEMEBER
2825 STRATFORD LANE
FLOWER MOUND TX 75028

Officer/Director/Trustee Three

ASHLEY ROBERTS
BOARD MEMBER
2825 STRATFORD LANE
FLOWER MOUND TX 75028

Officer/Director/Trustee Four

BRIAN RUIBAL
BOARD MEMBER
1401 CALDWELL CREEK DR
COLLEYVILLE TX 76034

Organization’s website WWW.ROOTEDWELL.ORG
Organization’s email MELISSA.RUIBAL@ROOTEDWELL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELISSA RUIBAL
Signature Title BOARD MEMBER
Signature Date 4/7/2020

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