FORM 1023-EZ for ROOTED IN CHANGE
| Field | Data |
|---|---|
| EIN | 84-3129177 |
| Case Number | EO-2019297-000443 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ROOTED IN CHANGE |
| Organization’s Mailing Address | PO BOX 3982 |
| City | FORT PIERCE |
| State | FL |
| ZIP | 34948 |
| Accounting period End | 6 |
| Primary contact name | VENNIS GILMORE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
VENNIS GILMORE
PRESIDENT
1901 NORTH 16TH STREET
FORT PIERCE FL 34950
Officer/Director/Trustee Two
LASHONDA HENDERSON
VICE PRESIDENT
3542 SW VICEROY STREET
PORT SAINT LUCIE FL 34953
Officer/Director/Trustee Three
CALETA SCOTT
TREASURER
304 N 19TH STREET
FORT PIERCE FL 34954
Officer/Director/Trustee Four
CHASITY HARRY
SECRETARY
304 N 19TH STREET
FORT PIERCE FL 34954
| Organization’s website | NA |
|---|---|
| Organization’s email | LPYPCAPE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/1/19 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: Yes 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 | 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 | VENNIS GILMORE |
| Signature Title | PRESIDENT |
| Signature Date | 10/22/19 |
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