FORM 1023-EZ for PROVISION OF HOPE OUTREACH CENTER

Field Data
EIN 84-4736482
Case Number EO-2020050-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVISION OF HOPE OUTREACH CENTER
Organization’s Mailing Address 920 TACHUDI RD APT 44
City AMORY
State MS
ZIP 38821
Accounting period End 12
Primary contact name JENNIFER MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES STALLING
PRESIDENT
209 5TH STREET NORTH
AMORY MS 38821

Officer/Director/Trustee Two

VICKIE ROBERTSON
VICE PRESIDENT
10001 ROBIN LANE
ABERDEEN MS 39730

Officer/Director/Trustee Three

FRAN PACK
SECRETARY
106 B HILL STREET
SALTILLO MS 38826

Officer/Director/Trustee Four

TERRANCE BRITTON
TREASURER
362 NICKLAUS LANE APT 8
STARKVILLE MS 39759

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 JAMES STALLING
Signature Title PRESIDENT
Signature Date 2/17/2020

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