FORM 1023-EZ for WILLOW ROOTS INC
| Field | Data |
|---|---|
| EIN | 84-2598232 |
| Case Number | EO-2019217-000491 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WILLOW ROOTS INC |
| Organization’s Mailing Address | 23 N MAIN ST |
| City | PINE PLAINS |
| State | NY |
| ZIP | 12567 |
| Accounting period End | 12 |
| Primary contact name | NELSON ZAYAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRETT MCCORMACK
VICE PRESIDENT
PO BOX 87
STANFORDVILLE NY 12581
Officer/Director/Trustee Two
CRIS SMITH-HEDGES
SECRETARY
32 WOODS DRIVE
PINE PLAINS NY 12567
Officer/Director/Trustee Three
DIANA MOORE
BOARD MEMBER
PO BOX 998
PINE PLAINS NY 12567
Officer/Director/Trustee Four
LISA ZAYAS
PRESIDENT
23 N MAIN ST
PINE PLAINS NY 12567
Officer/Director/Trustee Five
NELSON ZAYAS
TREASURER
23 N MAIN ST
PINE PLAINS NY 12567
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/28/19 |
| Organization Incorporation State | NY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | 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 | NELSON ZAYAS |
| Signature Title | TREASURER |
| Signature Date | 8/2/19 |
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