FORM 1023-EZ for GREEN ROOTS SOCIETY INC

Field Data
EIN 83-2523815
Case Number EO-2019192-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN ROOTS SOCIETY INC
Organization’s Mailing Address 124 ANDERSON STREET
City FAYETTEVILLE
State NC
ZIP 28301
Accounting period End 7
Primary contact name AUDRIAUNNA KITTERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY RAMBEAUT
VIE PRESIDENT
329 EDDIES LANE
FAYETTEVILLE NC 28311

Officer/Director/Trustee Two

NATASHA MCDONALD
EVENT COORDINATOR
3575 SIDS MILL RD
FAYETTEVILLE NC 28312

Officer/Director/Trustee Three

JESSICA FISHER
PUBLIC RELATIONS
8839 GIP RD
FAYETTEVILLE NC 28312

Officer/Director/Trustee Four

KASHIA KNIGHT
COMMUNITY OUTREACH
1588 WINNABOW DR
FAYETTEVILLE NC 28304

Officer/Director/Trustee Five

AUDRIAUNNA KITTERMAN
PRESIDENT
800 LONGVIEW DR EXTENSION
FAYETTEVILLE NC 28311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
Correctness Declaration Yes
Signature Name AUDRIAUNNA KITTERMAN
Signature Title PRESIDENT
Signature Date 7/9/19

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