FORM 1023-EZ for ROOTS AND WINGS YOUTH ENRICHMENT PROGRAM

Field Data
EIN 85-0473217
Case Number EO-2017261-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROOTS AND WINGS YOUTH ENRICHMENT PROGRAM
Organization’s Mailing Address PO BOX 66
City EL PRADO
State NM
ZIP 87529
Accounting period End 12
Primary contact name GEORGIA EPSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE MARTINEZ
PRESIDENT
145B N KIOWA
QUESTA NM 87556

Officer/Director/Trustee Two

JULIE LUCERO
VICE PRESIDENT
26 EL TROS RD
RANCHOS DE TAOS NM 87557

Officer/Director/Trustee Three

TANYA FERNANDEZ
SECRETARY
PO BOX 431
QUESTA NM 87556

Officer/Director/Trustee Four

GEORGIA EPSTEIN
TREASURER
PO BOX317
ARROYO HONDO NM 87513

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2000
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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