FORM 1023-EZ for PROUDLY ROOTED

Field Data
EIN 82-5336737
Case Number EO-2018176-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROUDLY ROOTED
Organization’s Mailing Address 14019 GRAY WING ST
City SAN ANTONIO
State TX
ZIP 78231
Accounting period End 12
Primary contact name TERRI D PEASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRI PEASE
DIRECTOR
14091 GRAY WING ST
SAN ANTONIO TX 78231

Officer/Director/Trustee Two

CAMERON VICKREY
DIRECTOR
14315 SHADOW OAKS LANE
SAN ANTONIO TX 78231

Officer/Director/Trustee Three

GENEVIEVE SUGALSKI
DIRECTOR
14134 WOODSTREAM
SAN ANTONIO TX 78231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 TERRI PEASE
Signature Title DIRECTOR
Signature Date 6/21/18

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