FORM 1023-EZ for GRASSROOTS RESEARCH OUTREACH

Field Data
EIN 83-3167771
Case Number EO-2019106-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRASSROOTS RESEARCH OUTREACH
Organization’s Mailing Address 521 SUTRO FOREST DR NW
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name VISHAL PATIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARUSHI PATIL
EXECUTIVE DIRECTOR, FOUNDER
521 SUTRO FOREST DR NW
CONCORD NC 28027

Officer/Director/Trustee Two

RUTWA PATIL
OFFICER, FOUNDER
521 SUTRO FOREST DR NW
CONCORD NC 28027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
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 AARUSHI PATIL
Signature Title EXECUTIVE DIRECTOR, FOUNDER
Signature Date 4/14/19

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