FORM 1023-EZ for RANDY E ROYBAL FOUNDATION INC

Field Data
EIN 82-3759309
Case Number EO-2020317-000707
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RANDY E ROYBAL FOUNDATION INC
Organization’s Mailing Address 4772 WEST 100TH COURT
City WESTMINSTER
State CO
ZIP 80031
Accounting period End 12
Primary contact name DEBORAH ROYBAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH ROYBAL
PRESIDENT
4772 WEST 100TH COURT
WESTMINSTER CO 80031

Officer/Director/Trustee Two

KELLAN ROYBAL
SECRETARY/TREASURER
4772 WEST 100TH COURT
WESTMINSTER CO 80031

Organization’s website N/A
Organization’s email DRROYBAL13@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBORAH ROYBAL
Signature Title PRESIDENT
Signature Date 11/10/2020
EIN 82-3759309
Case Number EO-2020015-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RANDY E ROYBAL FOUNDATION INC
Organization’s Mailing Address 4772 WEST 100TH COURT
City WESTMINSTER
State CO
ZIP 80031
Accounting period End 12
Primary contact name DEBORAH ROYBAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH ROYBAL
PRESIDENT
4772 WEST 100TH COURT
WESTMINSTER CO 80031

Officer/Director/Trustee Two

KELLAN ROYBAL
SECRETARY/TREASURER
4772 WEST 100TH COURT
WESTMINSTER CO 80031

Organization’s website N/A
Organization’s email DRROYBAL13@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 DEBORAH ROYBAL
Signature Title PRESIDENT
Signature Date 1/13/2020

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