FORM 1023-EZ for ROLL OUT INC

Field Data
EIN 83-2773581
Case Number EO-2019361-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROLL OUT INC
Organization’s Mailing Address 6060 FEDERAL BOULEVARD
City SAN DIEGO
State CA
ZIP 92114-1303
Accounting period End 12
Primary contact name NILI GOLDFARB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NILI GOLDFARB
PRESIDENT
17626 CABELA DR
SAN DIEGO CA 92127-1211

Officer/Director/Trustee Two

JAMIE KING
TREASURER
3245 UNIVERSITY AVE APT 1234
SAN DIEGO CA 92104-2009

Officer/Director/Trustee Three

TATIANA DUPUY
SECRETARY
7782 CHADAMY WAY
SAN DIEGO CA 92130-5678

Officer/Director/Trustee Four

CAROL DAYN
MEMBER AT LARGE
13010 PASEO DEL VERANO
SAN DIEGO CA 92128-1859

Officer/Director/Trustee Five

LEAH STEINHARDT
MEMBER AT LARGE
7715 EASTRIDGE DRIVE
LA MESA CA 91941-7876

Organization’s website ROLLOUTINC.ORG
Organization’s email INFO@ROLLOUTINC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 No
Correctness Declaration Yes
Signature Name NILI GOLDFARB
Signature Title PRESIDENT
Signature Date 12/23/2019

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