FORM 1023-EZ for THE WATERED ROOTS

Field Data
EIN 83-1350061
Case Number EO-2018218-000745
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WATERED ROOTS
Organization’s Mailing Address 3905 AYNOR DRIVE
City BOWIE
State MD
ZIP 20721
Accounting period End 12
Primary contact name TAYLOR JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR JACOBS
EXECUTIVE DIRECTOR
3905 AYNOR DR
BOWIE MD 20721

Officer/Director/Trustee Two

CHEYENNE ADLER
BOARD MEMBER
3905 AYNOR DR
BOWIE MD 20721

Officer/Director/Trustee Three

TAMIR JACOBS
BOARD MEMBER
3905 AYNOR DRIVE
BOWIE MD 20721

Officer/Director/Trustee Four

VALARIE JACOBS
ASSISTANT DIRECTOR
3905 AYNOR DRIVE
BOWIE MD 20721

Organization’s website
Organization’s email THEWATEREDROOTS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State MD
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: No
Religious: No
Educational: Yes
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 TAYLOR JACOBS
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/4/18

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