FORM 1023-EZ for ROOTS OF CHANGE C B S
| Field | Data |
|---|---|
| EIN | 85-3094172 |
| Case Number | EO-2021152-000606 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ROOTS OF CHANGE C B S |
| Organization’s Mailing Address | 1015 4TH STREET APT A |
| City | MODESTO |
| State | CA |
| ZIP | 95351 |
| Accounting period End | 12 |
| Primary contact name | AMINA FORTE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANTHONY FORTE
OFFICER BUSINESS AFFAIRS
1015 4TH STREET APT A
MODESTO CA 95351
Officer/Director/Trustee Two
MARCUS RANDOLPH
DIRECTOR PUBLIC RELATION
3632 MARY AVE
STOCKTON CA 95206
Officer/Director/Trustee Three
AMINA FORTE
TRUSTEE
1015 4TH STREET APT A
MODESTO CA 95351
| Organization’s website | ROOTS OF CHANGE C B S |
|---|---|
| Organization’s email | ROOTSOFCHANGCBS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/21/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Y12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | AMINA FORTE |
| Signature Title | TRUSTEE |
| Signature Date | 5/27/2021 |
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