FORM 1023-EZ for ROOTT- RESTORING OUR OWN THROUGH TRANSFORMATION

Field Data
EIN 82-1964469
Case Number EO-2017186-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROOTT- RESTORING OUR OWN THROUGH TRANSFORMATION
Organization’s Mailing Address 2533 SUMMIT ST
City COLUMBUS
State OH
ZIP 43202-2432
Accounting period End 7
Primary contact name JESSICA ROACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA ROACH
EXECUTIVE DIRECTOR
2533 SUMMIT ST
COLUMBUS OH 43202-2432

Officer/Director/Trustee Two

MONIQUE MCCRYSTAL
DIRECTOR
374 KENDALL PL
COLUMBUS OH 43205-2017

Officer/Director/Trustee Three

AUDRA PHILLIPS
DIRECTOR
5289 EISENHOWER RD
COLUMBUS OH 43229-1246

Officer/Director/Trustee Four

MAURICE STEVENS
DIRECTOR
154 CLINTON HEIGHTS AVE
COLUMBUS OH 43202-1246

Organization’s website
Organization’s email R.O.O.T.T.RJ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2017
Organization Incorporation State OH
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: No
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 Yes
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
Signature Title
Signature Date

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