FORM 1023-EZ for W H ROBERTS FOUNDATION

Field Data
EIN 65-0602387
Case Number EO-2017173-000418
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name W H ROBERTS FOUNDATION
Organization’s Mailing Address 780 NW 42 AVE SUITE 324
City MIAMI
State FL
ZIP 33126
Accounting period End 12
Primary contact name KARYN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM ROBERTS
CEO
1540 NW 203 ST
MIAMI FL 33126

Officer/Director/Trustee Two

KARYN WILLIAMS
SECRETARY
4251 NW 169TH TERR
MIAMI FL 33055

Organization’s website
Organization’s email KARYNWILLIAMS21@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/1995
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B21 - Kindergarten, Preschool, Nursery School, Early Admissions
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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