FORM 1023-EZ for ROOTS LIVING MINISTRY INCORPORATED

Field Data
EIN 83-0778386
Case Number EO-2018337-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOTS LIVING MINISTRY INCORPORATED
Organization’s Mailing Address 67 W BROAD STREET APT A
City EAST STROUDSBURG
State PA
ZIP 18301
Accounting period End 12
Primary contact name MARIA MARTIINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS MARTIINEZ
PRESIDENT AND DIRECTOR
67 W BROAD STREET APT A
EAST STROUDSBURG PA 18301

Officer/Director/Trustee Two

MARIA MARTINEZ
SECRETARY AND DIRECTOR
67 W BROAD STREET APT A
EAST STROUDSBURG PA 18301

Officer/Director/Trustee Three

KADRIANA MARTINEZ
TREASURER AND DIRECTOR
67 W BROAD STREET APT A
EAST STROUDSBURG PA 18301

Officer/Director/Trustee Four

GARY HUBERT
DIRECTOR
2860 GREEN COURT
EASTON PA 18040

Officer/Director/Trustee Five

BIANCA SOLIS
DIRECTOR
60 SHANNON ROAD
NORTH WALES PA 19454

Organization’s website WWW.ROOTSLIVINGMINISTRY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 MARIA MARTINEZ
Signature Title SECRETARY AND DIRECTOR
Signature Date 11/30/18

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