FORM 1023-EZ for ROC INC

Field Data
EIN 47-5111257
Case Number EO-2016123-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROC INC
Organization’s Mailing Address 343 AUBE RIDGE ROAD
City HINESBURG
State VT
ZIP 05461
Accounting period End 12
Primary contact name MARK R PERKELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK PERKELL
DIRECTOR PRESIDENT
257 FAIRWAY DRIVE
SOUTH BURLINGTON VT 05403

Officer/Director/Trustee Two

VERONICA BERNICKE
DIRECTOR TREASURER
72 CEDAR RIDGE DR
SHELBURNE VT 05461

Officer/Director/Trustee Three

AMY POLAND
DIRECTOR SECRETARY
35 KIND STREET SUITE 3
BURLINGTON VT 05401

Officer/Director/Trustee Four

ERIC HANSON
DIRECTOR
431 PINE STREET
BURLINGTON VT 05402

Officer/Director/Trustee Five

GENE RICHARDS
DIRECTOR
168 SUMMIT ST
BURLINGTON VT 05401

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2015
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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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