FORM 1023-EZ for ROAM SCHOOLED

Field Data
EIN 81-4138969
Case Number EO-2016308-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROAM SCHOOLED
Organization’s Mailing Address 1604 N SUMNER ST
City PORTLAND
State OR
ZIP 97217
Accounting period End 12
Primary contact name JAMES BRUNBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES BRUNBERG
DIRECTOR, PRESIDENT
1604 N SUMNER ST
PORTLAND OR 97217

Officer/Director/Trustee Two

LYDIA RICCI
DIRECTOR, SECRETARY
205 DUDLEY AVE
NABERTH 19072 PA 19072

Officer/Director/Trustee Three

BENJAMIN LANDSVERK
DIRECTOR, TREASURER
111 SW HARRISON ST
PORTLAND OR 97201

Organization’s website WWW.ROAMSCHOOLED.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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