FORM 1023-EZ for ROOM FOR LEADERSHIP

Field Data
EIN 27-0240623
Case Number EO-2015043-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROOM FOR LEADERSHIP
Organization’s Mailing Address 438 GREENDALE WAY APARTMENT 1
City SAN JOSE
State CA
ZIP 95129-1529
Accounting period End 4
Primary contact name NIDYA ORTIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CATHERINE NIEZEN
DIRECTOR AND PRESIDENT
438 GREENDALE WAY APARTMENT 1
SAN JOSE CA 95129-1529

Officer/Director/Trustee Two

NIDYA ORTIZ
DIRECTOR AND TREASURER
438 GREENDALE WAY APARTMENT 2
SAN JOSE CA 95129-1529

Officer/Director/Trustee Three

ENGELS VALENZUELA
SECRETARY
438 GREENDALE WAY APARTMENT 2
SAN JOSE CA 95129-1529

Officer/Director/Trustee Four

ISRAEL NIEZEN
DIRECTOR
4141 GLENCOE AVENUE UNIT 202
MARINA DEL REY CA 90292-8808

Organization’s website WWW.ROOMFORLEADERSHIP.ORG
Organization’s email INFO@ROOMFORLEADERSHIP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2009
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 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 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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