FORM 1023-EZ for IPBYS OUTREACH INC

Field Data
EIN 47-1882021
Case Number EO-2014276-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IPBYS OUTREACH INC
Organization’s Mailing Address 5104 STOCKTON WAY
City DURHAM
State NC
ZIP 27707
Accounting period End 12
Primary contact name BETH BORTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BETH BORTZ
DIRECTOR/PRESIDENT
8107 LOUISE AVE
NORTHRIDGE CA 91325

Officer/Director/Trustee Two

RON SMITH
SECRETARY
13400 NW 140TH ST 1502
ALACHUA FL 32615

Officer/Director/Trustee Three

BAGAVATHIKAN RAJ
TREASURER
5104 STOCKTON WAY
DURHAM NC 27707

Organization’s website WWW.PRISONSEVA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
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 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 Yes
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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