FORM 1023-EZ for PAY IT FORWARD OUTREACH CORP

Field Data
EIN 46-4558350
Case Number EO-2014267-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAY IT FORWARD OUTREACH CORP
Organization’s Mailing Address 2203 SE 28 PLACE
City OCALA
State FL
ZIP 34471-6189
Accounting period End 12
Primary contact name BONNIE A VITALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RHONDA BUCKNER
VP
3200 SE 20 AVE
OCALA FL 34471-6189

Officer/Director/Trustee Two

JENNIFER HAY
SEC
2855 SE 38 STREET
OCALA FL 34471-6189

Officer/Director/Trustee Three

FRANCES KOEHLER
TREASURER
9181 SE 171 DRAYTON PLACE
THE VILLAGES FL 32162

Officer/Director/Trustee Four

BONNIE VITALE
PRES
2203 SE 28 PLACE
OCALA FL 34471-6189

Organization’s website WWW.PAYITFORWARDOUTREACH.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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