FORM 1023-EZ for RIGHTEOUS ROOTS

Field Data
EIN 84-1966339
Case Number EO-2019157-000272
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RIGHTEOUS ROOTS
Organization’s Mailing Address 3501 SW 52ND AVE SUITE 101
City HOLLYWOOD
State FL
ZIP 33023
Accounting period End 12
Primary contact name KEITH HIGHSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH HIGHSMITH
PRESIDENT
3501 SW 52ND AVE SUITE 101
HOLLYWOOD FL 33023

Officer/Director/Trustee Two

JASMINE GREEN
VICE PRESIDENT
5342 CLARK RD PMB 1067
SARASOTA FL 34233

Officer/Director/Trustee Three

CIERRA BOSTON
DIRECTOR
4113 MONARCH CRESCENT
HENRICO VA 23228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
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 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 KEITH HIGHSMITH
Signature Title PRESIDENT
Signature Date 6/4/19

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