FORM 1023-EZ for CONCRETE ROSE NONPROFIT ORGANIZATION

Field Data
EIN 81-1974179
Case Number EO-2017205-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONCRETE ROSE NONPROFIT ORGANIZATION
Organization’s Mailing Address 12025 S WILLOWBROOK AVE
City COMPTON
State CA
ZIP 90222-1315
Accounting period End 12
Primary contact name EARNEST STALLINGS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARNEST STALLINGS JR
DIRECTOR
12025 S WILLOWBROOK AVE
COMPTON CA 90222-1315

Officer/Director/Trustee Two

DYTANYA CLARK
TREASURER
4222 1/2 ELIZABETH ST
CUDAHY CA 90201

Officer/Director/Trustee Three

TYSHAWN EDWARDS
MEMBER
12025 S WILLOWBROOK AVE
COMPTON CA 90222-1315

Officer/Director/Trustee Four

JANELLE STALLINGS
SECRETARY
12025 S WILLOWBROOK AVE
COMPTON CA 90222-1315

Officer/Director/Trustee Five

BEVERLY BROWN
MEMBER
12027 S WILLOWBROOK AVE APT B
COMPTON CA 90222-1315

Organization’s website CONCRETEROSE.NONPROFIT.ORG
Organization’s email CONCRETEROSE.NONPROFIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2016
Organization Incorporation State CA
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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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