FORM 1023-EZ for ROOSEVELT ACTION ASSOCIATION

Field Data
EIN 94-2822592
Case Number EO-2015079-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROOSEVELT ACTION ASSOCIATION
Organization’s Mailing Address KARL OBERGH 502 W LYNWOOD ST
City PHOENIX
State AZ
ZIP 85003
Accounting period End 12
Primary contact name CAROLYN SECHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARL OBERGH
PRESIDENT
502 W LYNWOOD ST
PHOENIX AZ 85003

Officer/Director/Trustee Two

RYAN TEMPEST
TREASURER
502 W LYNWOOD ST
PHOENIX AZ 85003

Officer/Director/Trustee Three

MONICA GODDARD
SECRETARY
502 W LYNWOOD ST
PHOENIX AZ 85003

Officer/Director/Trustee Four

SHERRY RAMPY
VICE PRES
502 W LYNWOOD ST
PHOENIX AZ 85003

Officer/Director/Trustee Five

DIANE MILLER
DIRECTOR
502 W LYNWOOD ST
PHOENIX AZ 85003

Organization’s website NA
Organization’s email KOBERGH@RITOCHPOWELL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/1981
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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