FORM 1023-EZ for THE CONCRETE ROSE FOUNDATION
| Field | Data |
|---|---|
| EIN | 87-1444263 |
| Case Number | EO-2021193-000799 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE CONCRETE ROSE FOUNDATION |
| Organization’s Mailing Address | 2741 NW 68TH AVENUE |
| City | GAINESVILLE |
| State | FL |
| ZIP | 32653 |
| Accounting period End | 6 |
| Primary contact name | ASHLEY MCCLELLAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ASHLEY MCCLELLAN
PRESIDENT
2741 NW 68TH AVENUE
GAINESVILLE FL 32653
Officer/Director/Trustee Two
BRENDA DARLING
TREASURER
3643 NW 46TH PLACE
GAINESVILLE FL 32605
Officer/Director/Trustee Three
JIBRIA WHITE
VICE PRESIDENT
222 N HIAWASSEE ROAD UNIT 31
ORLANDO FL 32835
Officer/Director/Trustee Four
SUSAN MCCLELLAN
SECRETARY
2741 NW 68TH AVENUE
GAINESVILLE FL 32653
Officer/Director/Trustee Five
BIANCA BLACKSHEAR
DIRECTOR OF ACTIVITIES
4322 SE 4TH AVENUE
GAINESVILLE FL 32641
| Organization’s website | WWW.THECONCRETEROSEFOUNDATION.ORG |
|---|---|
| Organization’s email | CONCRETEROSES.MENTORING@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/17/2019 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | R22 - Minority Rights |
| 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 | 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 | ASHLEY MCCLELLAN |
| Signature Title | PRESIDENT |
| Signature Date | 7/8/2021 |
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