FORM 1023-EZ for YELLOW TEA ROSE FOUNDATION

Field Data
EIN 86-3054212
Case Number EO-2021103-000780
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YELLOW TEA ROSE FOUNDATION
Organization’s Mailing Address PO BOX 19315
City ROCHESTER
State NY
ZIP 14619
Accounting period End 12
Primary contact name ASHLEY CROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA LEWIS
PRESIDENT
43 DUNBAR ST
ROCHESTER NY 14619

Officer/Director/Trustee Two

TRINA DUNCAN
VICE PRESIDENT
15 REGINA DRIVE
ROCHESTER NY 14606

Officer/Director/Trustee Three

TANEIKA THOMPSON
TREASURER
46 GLEN OAKS
ROCHESTER NY 14624

Officer/Director/Trustee Four

BRIDGETTE WATERS
SECRETARY
312 ALDINE ST
ROCHESTER NY 14619

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 TRINA DUNCAN
Signature Title VICE PRESIDENT
Signature Date 4/6/2021

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