FORM 1023-EZ for ROADSIDE FOUNDATION INC

Field Data
EIN 83-1235274
Case Number EO-2018234-000137
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROADSIDE FOUNDATION INC
Organization’s Mailing Address 152 RAINBOW DR STE 5276
City LIVINGSTON
State TX
ZIP 77399
Accounting period End 12
Primary contact name JAY CHANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY CHANG
PRESIDENT, DIRECTOR
1215 4TH ST APT 6 SE
MINNEAPOLIS MN 55414

Officer/Director/Trustee Two

SEUNGHEE SUNNY AHN
SECRETARY, DIRECTOR
1919 W CORONET AVE UNIT 89
ANAHEIM CA 92801

Officer/Director/Trustee Three

GYOUNG LEE
TREASURER, DIRECTOR
152 RAINBOW DR STE 5276
LIVINGSTON TX 77399

Officer/Director/Trustee Four

EURA CHANG
DIRECTOR
1321 E 10TH AVE UNIT 12
DENVER CO 80218

Officer/Director/Trustee Five

EUGENE CHANG
DIRECTOR
1215 4TH ST APT 6 SE
MINNEAPOLIS MN 55414

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/18
Organization Incorporation State TX
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: 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 JAY CHANG
Signature Title PRESIDENT, DIRECTOR
Signature Date 8/20/18

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