FORM 1023-EZ for ROOM FOR ROOTS INC

Field Data
EIN 84-2903645
Case Number EO-2019269-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOM FOR ROOTS INC
Organization’s Mailing Address 3018 S 87TH STREET
City OMAHA
State NE
ZIP 68124
Accounting period End 12
Primary contact name ANTHONY GROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIDGETT BELSKY
PRESIDENT
17213 SAGE STREET
OMAHA NE 68136

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/19
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 BRIDGETT BELSKY
Signature Title PRESIDENT
Signature Date 9/24/19

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