FORM 1023-EZ for ROOTED IN THE COMMUNITY

Field Data
EIN 85-4003199
Case Number EO-2021022-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOTED IN THE COMMUNITY
Organization’s Mailing Address 5223 HOMEWOOD AVENUE
City MAPLE HEIGHTS
State OH
ZIP 44137
Accounting period End 12
Primary contact name TINA STAFFORD-MARBURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINA STAFFORD-MARBURY
CEO
5223 HOMEWOOD AVENUE
MAPLE HEIGHTS OH 44137

Officer/Director/Trustee Two

CHONDRA JEFFERSON-PALMER
SECRETARY
2927 E 117TH
CLEVELAND OH 44120

Officer/Director/Trustee Three

ARIEL MARBURY
VICE PRESIDENT
14714 CORRIDON
MAPLE HEIGHTS OH 44137

Organization’s website
Organization’s email ROOTED.IN216@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2020
Organization Incorporation State OH
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: 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TINA STAFFORD-MARBURY
Signature Title CEO
Signature Date 11/23/2020

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