FORM 1023-EZ for THE ROSIE LEYAKATALIE FOUNDATION INC

Field Data
EIN 82-4531926
Case Number EO-2018263-000459
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ROSIE LEYAKATALIE FOUNDATION INC
Organization’s Mailing Address 1545 NW 15TH STREET ROAD UNIT 505
City MIAMI
State FL
ZIP 33125
Accounting period End 12
Primary contact name KEEMA PARRAMORE LEYAKATALIE-BRYSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEEMA LEYAKATALIE-BRYSON
PRESIDENT
1545 NW 15TH STREET ROAD UNIT 505
MIAMI FL 33125

Officer/Director/Trustee Two

SINCERELY WARD
VICE PRESIDENT
1040 HUFF ROAD
ATLANTA GA 30318

Officer/Director/Trustee Three

MELANIE POLK
TREASURER
5927 SHINING LEAF COURT
KATY TX 77449

Officer/Director/Trustee Four

MONICA VALERY
SECRETARY
1343 NORMANDY HEIGHTS CIRCLE
WINTER HAVEN FL 33880

Officer/Director/Trustee Five

ANDRE LEYAKATALIE
MEMBER
1609 SHALOT CIRCLE
GRAND PRAIRIE FL 75050

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 KEEMA LEYAKATALIE-BRYSON
Signature Title PRESIDENT
Signature Date 9/18/18

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