FORM 1023-EZ for ROHRBACH SERVICES CORPORATION

Field Data
EIN 84-3530185
Case Number EO-2020174-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROHRBACH SERVICES CORPORATION
Organization’s Mailing Address 302 W JACKSON SUITE E
City BOLIVAR
State MO
ZIP 65613
Accounting period End 12
Primary contact name MELISSA ROHRBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA ROHRBACH
PRESIDENT
471 S FLINT AVE
BOLIVAR MO 65613

Officer/Director/Trustee Two

ANGEL HAUN
SECRETARY
302 W JACKSON
BOLIVAR MO 65613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2018
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name MELISSA ROHRBACH
Signature Title PRESIDENT
Signature Date 6/18/2020

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