FORM 1023-EZ for ROYAL EMPIRE FOUNDATION INCORPORATED

Field Data
EIN 84-4248203
Case Number EO-2020101-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROYAL EMPIRE FOUNDATION INCORPORATED
Organization’s Mailing Address 13103 CARPENTER ROAD
City GARFIELD HEIGHTS
State OH
ZIP 44126
Accounting period End 12
Primary contact name JAY LEVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOMINIQUE BELL
EXECUTIVE DIRECTOR/SECRETARY
13103 CARPENTER ROAD
GARFIELD HTS OH 44126

Officer/Director/Trustee Two

JAYAH WATTERS
ASSISTANT DIRECTOR
3790 FREEMONT ROAD
SOUTH EUCLID OH 44121

Officer/Director/Trustee Three

CHAMERE CRAWFORD
TRESURER
22656 SHORE CENTER DRIVE
EUCLID OH 44123

Officer/Director/Trustee Four

JAY LEVERT
CPA
4147 MAYFIELD ROAD
SOUTH EUCLID OH 44121

Organization’s website
Organization’s email LEVERTANDASSOCIATES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 DOMINIQUE BELL
Signature Title EXECUTIVE DIRECTOR/SECRETARY
Signature Date 4/8/2020

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