FORM 1023-EZ for ROGERS FAMILY WELLNESS FOUNDATION INC

Field Data
EIN 85-2285918
Case Number EO-2021091-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROGERS FAMILY WELLNESS FOUNDATION INC
Organization’s Mailing Address 3430 MONTICELLO BLVD
City CLEVELAND HTS
State OH
ZIP 44121
Accounting period End 12
Primary contact name CORTNEY CASEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORTNEY CASEY
CEO
3430 MONTICELLO BLVD
CLEVELAND HTS OH 44121

Officer/Director/Trustee Two

LAUREN BAKER
SECRETARY
3430 MONTICELLO BLVD
CLEVELAND HTS OH 44121

Officer/Director/Trustee Three

TWANA ROGERS
TREASURER
3430 MONTCELLO BLVD
CLEVELAND HTS OH 44121

Organization’s website
Organization’s email CCASEY@RFWFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
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 CORTNEY CASEY
Signature Title CEO
Signature Date 2/19/2021

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