FORM 1023-EZ for ROOTED OF ST JOSEPH COUNTY INC

Field Data
EIN 84-2346163
Case Number EO-2020092-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROOTED OF ST JOSEPH COUNTY INC
Organization’s Mailing Address 308 N 3RD STREET
City BURR OAK
State MI
ZIP 49030
Accounting period End 12
Primary contact name ROBERT J WAGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN BATES
PRESIDENT AND DIRECTOR
308 MICHIGAN
STURGIS MI 49091

Officer/Director/Trustee Two

CRYSTAL HUGHES
VICE-PRESIDENT AND DIRECTOR
354 W BURR OAK ST
CENTREVILLE MI 49032

Officer/Director/Trustee Three

BRITTANY YODER
SECRETARY AND DIRECTOR
67285 BURG RD
STURGIS MI 49091

Officer/Director/Trustee Four

ANGELA JENNINGS
TREASURER AND DIRECTOR
409 W LAFAYETTE ST
STURGIS MI 49091

Officer/Director/Trustee Five

MELISSA HALLACK
DIRECTOR
6002 WHEATLANDS AVE
SCOTTS MI 49088

Organization’s website WWW.ROOTEDSJC.COM
Organization’s email CONNECT@ROOTEDSJC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 KAREN BATES
Signature Title PRESIDENT AND DIRECTOR
Signature Date 3/30/2020

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