FORM 1023-EZ for THE GABRIEL ROCHA FOUNDATION INC

Field Data
EIN 46-2170239
Case Number EO-2015113-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE GABRIEL ROCHA FOUNDATION INC
Organization’s Mailing Address PO BOX 2014
City PORTAGE
State IN
ZIP 46368-9998
Accounting period End 12
Primary contact name ROBBY ROBB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSHUA ROCHA
PRESIDENT
805 WATER STREET
HOBART IN 46342-5922

Officer/Director/Trustee Two

MARCI CROZIER
VICE PRESIDENT
141 KINSALE AVENUE
VALPARAISO IN 46385-8563

Officer/Director/Trustee Three

ROBBY ROBB
SECRETARY
5542 LARK AVENUE
PORTAGE IN 46368-4306

Officer/Director/Trustee Four

SARAH GOMEZ
TREASURER
6171 N SHERIDAN ROAD
CHICAGO IN 60660-2800

Officer/Director/Trustee Five

MIKE FALK
BOARD MEMBER
61 SKIHILL ROAD
PORTAGE IN 46368-8719

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2013
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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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