FORM 1023-EZ for GREATER NAZARENE OUTREACH MISSION

Field Data
EIN 81-1904304
Case Number EO-2018171-000686
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREATER NAZARENE OUTREACH MISSION
Organization’s Mailing Address 37512 PROVENCE POINTE
City PRAIRIEVILLE
State LA
ZIP 70814
Accounting period End 1
Primary contact name ASHLEY MITCHELL CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENEE ANTOINE
PRESIDENT
37512 PROVENCE POINTE
PRAIRIEVILLE LA 70769

Officer/Director/Trustee Two

KENDALL JONES
VICE-PRESIDENT
2302 ARBOR DRIVE
DULUTH GA 30096

Officer/Director/Trustee Three

TRENEA WEBB
SECRETARY
14655 WISTERIA LAKES DRIVE
BATON ROUGE LA 70818

Officer/Director/Trustee Four

RANNA EDWARDS
EXECUTIVE VICE-PRESIDENT
4613 NORWICH DRIVE
BATON ROUGE LA 70814

Officer/Director/Trustee Five

GAIL WINTERS
TREASURER
4437 NORWICH DRIVE
BATON ROUGE LA 70814

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/16
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 RENEE ANTOINE
Signature Title PRESIDENT
Signature Date 6/18/18

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