FORM 1023-EZ for AINSLEY MARIE ROBERTS FOUNDATION INC

Field Data
EIN 84-4012313
Case Number EO-2020006-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AINSLEY MARIE ROBERTS FOUNDATION INC
Organization’s Mailing Address PO BOX 152704
City TAMPA
State FL
ZIP 33614
Accounting period End 12
Primary contact name RACHEL ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL ROBERTS
PRESIDENT
2110 W HENRY AVE
TAMPA FL 33603

Officer/Director/Trustee Two

SCOTT ROBERTS
VICE PRESIDENT
31882 STONEY CREEK RD
TRABUCO CANYON CA 92679

Officer/Director/Trustee Three

PENELOPE ROBERTS
VICE PRESIDENT
31882 STONEY CREEK RD
TRABUCO CANYON CA 92679

Officer/Director/Trustee Four

CHARLES WHITE
SECRETARY/TREASURER
2110 W HENRY AVE
TAMPA FL 33603

Organization’s website WWW.AINSLEYMARIEROBERTSFOUNDATION.ORG
Organization’s email INFO@AINSLEYMARIEROBERTSFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 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 RACHEL ROBERTS
Signature Title PRESIDENT
Signature Date 1/2/2020

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