FORM 1023-EZ for TEBONY AND JAMES ROSA FAMILY FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2907400 |
| Case Number | EO-2019246-000490 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TEBONY AND JAMES ROSA FAMILY FOUNDATION |
| Organization’s Mailing Address | 707 KIRKMAN STREET |
| City | GREENSBORO |
| State | NC |
| ZIP | 27406-4025 |
| Accounting period End | 12 |
| Primary contact name | JAMES ROSA JR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STAHLE VINCENT
BOARD OF DIRECTOR
1907 BELDEN DRIVE
GREENSBORO NC 27405-6501
Officer/Director/Trustee Two
YVONNE JOHNSON
BOARD OF DIRECTOR
4311 KING ARTHUR PLACE
GREENSBORO NC 27405-6323
Officer/Director/Trustee Three
SUZANNE NAZIM
BOARD OF DIRECTOR
4706 SHADY OAK DRIVE
GREENSBORO NC 27410-1830
Officer/Director/Trustee Four
EVELYN ROSA
BOARD OF DIRECTOR
1237 STANLEY AVENUE APT 1H
BROOKLYN NY 11208-5640
Officer/Director/Trustee Five
TEBONY ROSA
SECRETARY
707 KIRKMAN STREET
GREENSBORO NC 27406-4025
| Organization’s website | |
|---|---|
| Organization’s email | ROSAFOUNDATIONCFGG@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/30/19 |
| Organization Incorporation State | NC |
| 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 | 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 | 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 | TEBONY ROSA |
| Signature Title | SECRETARY |
| Signature Date | 9/1/19 |
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