FORM 1023-EZ for ROBERTS WELLNESS FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-4276434 |
| Case Number | EO-2019164-000279 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ROBERTS WELLNESS FOUNDATION |
| Organization’s Mailing Address | 17 HEATHERFORD CT |
| City | DURHAM |
| State | NC |
| ZIP | 27704 |
| Accounting period End | 12 |
| Primary contact name | CRYSTALYN ROBERTS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CRYSTALYN ROBERTS
CHAIRMAN
17 HEATHERFORD CT
DURHAM NC 27704
Officer/Director/Trustee Two
ANDRE ROBERTS
VICE CHAIRMAN
17 HEATHERFORD
DURHAM NC 27704
Officer/Director/Trustee Three
KAMELIA CARTER
TREASURER
6012 NEWHALL
DURHAM NC 27713
Officer/Director/Trustee Four
MURDENA MILLS
SECRETARY
4030 ST CROIX LN APT 207
MEBANE NC 27302
Officer/Director/Trustee Five
CRYSTAL CATES
BOARD MEMBER
3309 COACHMANS WAY
DURHAM NC 27705
| Organization’s website | RW-FOUNDATION.COM |
|---|---|
| Organization’s email | ROBERTSWELLNESSFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/2/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CRYSTALYN ROBERTS |
| Signature Title | CHAIRMAN |
| Signature Date | 6/11/19 |
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