FORM 1023-EZ for ROLLING FOR A CAUSE

Field Data
EIN 81-3003867
Case Number EO-2016179-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROLLING FOR A CAUSE
Organization’s Mailing Address 141 BOYD ST
City STATEN ISLAND
State NY
ZIP 10304
Accounting period End 12
Primary contact name RENEE D CHARLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEISHA MACK
CHIEF EXECUTIVE OFFICER
140 BOYD ST
STATEN ISLAND NY 10304

Officer/Director/Trustee Two

VAN DEX HAYNES
TREASURER
67667 PRINCETON PARK WALK
LITHONIA GA 30058

Officer/Director/Trustee Three

RHONDA WHITAKER
SECRETARY
75 LASALLE ST APT 20K
NEW YORK NY 10027

Organization’s website ROLLINGFORACAUSE.ORG
Organization’s email ROLLINGOUTENT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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