FORM 1023-EZ for ROOTED IN MELANIN INITIATIVE

Field Data
EIN 85-1362656
Case Number EO-2020252-000526
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOTED IN MELANIN INITIATIVE
Organization’s Mailing Address 8054 EXCHANGE DR 701
City AUSTIN
State TX
ZIP 78754
Accounting period End 12
Primary contact name CHELSEA BOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELSEA LISA BOYD
PRESIDENT/TREASURER
8054 EXCHANGE DR APT 701
AUSTIN TX 78754

Officer/Director/Trustee Two

ADEN MUHAMMED
VICE PRESIDENT
2801 WELLS BRANCH PARKWAY APT 1013
AUSTIN TX 78728

Officer/Director/Trustee Three

DEVINE LOVING
SECRETARY
1701 OAK HILL LANE APT 926
AUSTIN TX 78744

Officer/Director/Trustee Four

CURTIS ADAMS
DIRECTOR OF FUNDRAISING
18333 TALL GRASS PRAIRIE DRIVE
PFLUGERVILLE TX 78660

Officer/Director/Trustee Five

MICHELLE HOUSTON
DIRECTOR OF SITE COORDINATION
13621 ARBOR HILL COVE
MANOR TX 78653

Organization’s website N/A
Organization’s email GETROOTEDATX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: No
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 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 CHELSEA LISA BOYD
Signature Title PRESIDENT/TREASURER
Signature Date 9/4/2020

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