FORM 1023-EZ for MY ROOTS FOUNDATION

Field Data
EIN 47-4511548
Case Number EO-2015231-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY ROOTS FOUNDATION
Organization’s Mailing Address 6002 BAIRD STREET
City DURHAM
State NC
ZIP 27712
Accounting period End 12
Primary contact name ALONZO FELDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALONZO FELDER
EXECUTIVE DIRECTOR
6002 BAIRD STREET
DURHAM NC 27712

Officer/Director/Trustee Two

CASSANDRA DAVIS
BOARD OF DIRECTOR
4610 PACES FERRY DRIVE
DURHAM NC 27712

Officer/Director/Trustee Three

KEVIN STEWMAN
BOARD OF DIRECTOR
1415 WEST NC HIGHWAY 54 SUITE 112
DURHAM NC 27707

Officer/Director/Trustee Four

GEORGE DIGSBY
BOARD OF DIRECTOR
207 E TRINITY AVENUE
DURHAM NC 27702

Organization’s website WWW.MYROOTSFOUNDATION.COM
Organization’s email ALONZO@MYROOTSFOUNDATION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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