FORM 1023-EZ for GROUND ROOTS INC

Field Data
EIN 46-4375246
Case Number EO-2016263-000369
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GROUND ROOTS INC
Organization’s Mailing Address 4152 INVERRARY DRIVE BLDG 1 STE 303
City LAUDERHILL
State FM
ZIP 33319
Accounting period End 12
Primary contact name VINCENT KIRKLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VINCENT KIRKLAND
PRESIDENT
4152 INVERRARY DRIVE BLDG 1 STE 303
LAUDERHILL FL 33319

Officer/Director/Trustee Two

VINCENT KIRKLAND JR
VP
2136 N 1ST AVENUE
LOUREL MS 39440

Officer/Director/Trustee Three

MAXINE KIRKLAND
TREASURER
4152 INVERRARY DRIVE BLDG 1 STE 303
LAUDERHILL FL 33319

Organization’s website WWW.GROUNDROOTSINC.COM
Organization’s email GROUNDROOTSINC.COM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2013
Organization Incorporation State FL
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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