FORM 1023-EZ for ROSAS BLANCAS INC

Field Data
EIN 87-1908473
Case Number EO-2021221-000696
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSAS BLANCAS INC
Organization’s Mailing Address 12078 STALLION CT
City WOODBRIDGE
State VA
ZIP 22192
Accounting period End 12
Primary contact name BLANCA VASQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLANCA VASQUEZ
PRESIDENT
12078 STALLION CT
WOODBRIDGE VA 22192

Officer/Director/Trustee Two

KADHAMBARI SRIDHAR
MEMBER BD OF DIRECTORS
525 N FAYETTE ST UNIT 323
ALEXANDRIA VA 22314

Officer/Director/Trustee Three

SAYLY KETEVONG
MEMBER BD OF DIRECTORS
2691 24TH RD S
ARLINGTON VA 22206

Officer/Director/Trustee Four

PAM TINKER
MEMBER BD OF DIRECTORS
2502 STONE HEDGE DR
ALEXANDRIA VA 22306

Officer/Director/Trustee Five

ANTHONY MINGO
MEMBER BD OF DIRECTORS
BRAMBLEWOOD LANE
WOODBRIDGE VA 22191

Organization’s website
Organization’s email BLANCAVASQUEZ.LEA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BLANCA VASQUEZ
Signature Title PRESIDENT
Signature Date 8/7/2021

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