FORM 1023-EZ for ROSE FOUNDATION INCORPORATED

Field Data
EIN 47-1795582
Case Number EO-2014258-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSE FOUNDATION INCORPORATED
Organization’s Mailing Address 1404 MARTIN LUTHER KING JR AVE
City LAKELAND
State FL
ZIP 33805
Accounting period End 12
Primary contact name ANDREW WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SONJI WILLIAMS
PRESIDENT
1404 MLK JR AVE
LAKELAND FL 33805

Officer/Director/Trustee Two

ANDREW WILLIAMS
VP
1404 MLK JR AVE
lakeland FL 33805

Officer/Director/Trustee Three

ALMONTE ford
TRES
5115 n socrum loop road apt 294
lakeland FL 33802

Officer/Director/Trustee Four

STEVEN hodges
SEC
612 WHITEHURST
lakeland FL 33805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 Yes
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
Signature Title
Signature Date

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