FORM 1023-EZ for BE A ROSE INC

Field Data
EIN 81-1279744
Case Number EO-2016159-000572
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BE A ROSE INC
Organization’s Mailing Address 11150 4TH ST N STE 3308
City ST PERERSBURG
State FL
ZIP 33716
Accounting period End 12
Primary contact name DAVID A KINSER EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTINE MWANGI
PRES
3268 44TH ST SE
GRAND RAPIDS MI 49512

Officer/Director/Trustee Two

JAMES THEURI
DIRECTOR
1872 W CALISTA ST
KANKAKEE IL 60901

Officer/Director/Trustee Three

RACHEL BONAPARTE
DIRECTOR
9525 SYLVAN STILL RD APT R
LAUREL MD 20723

Officer/Director/Trustee Four

CHARLES KUNGU
TREAS
8700 GOLDEN WOOD RD
ROSEDALE MD 21237

Officer/Director/Trustee Five

HILDA MWANGI
SEC
2323 S BENTLEY AVE APT 302
LOS ANGELES CA 90064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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
Signature Title
Signature Date

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