FORM 1023-EZ for ON DRY LAND OUTREACH

Field Data
EIN 84-3286633
Case Number EO-2019322-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ON DRY LAND OUTREACH
Organization’s Mailing Address 1447 SW 45TH WAY
City DEERFIELD BEACH
State FL
ZIP 33442
Accounting period End 12
Primary contact name JULIE CISNEROS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE CISNEROS
CEO
1447 SW 45TH WAY
DEERFIELD BEACH FL 33442-8269

Officer/Director/Trustee Two

BRYAN PETERSON
CFO
1652 CHAPPAREL WAY
WELLINGTON FL 33414-5827

Officer/Director/Trustee Three

TANYA DOUGHTY
SECRETARY
6080 CALADIUM ROAD
DELRAY BEACH FL 33484-4657

Officer/Director/Trustee Four

REBECCAH CISNEROS
DIRECTOR
1447 SW 45TH WAY
DEERFIELD BEACH FL 33442-8269

Officer/Director/Trustee Five

HANNAH CISNEROS
DIRECTOR
1447 SW 45TH WAY
DEERFIELD BEACH FL 33442-8269

Organization’s website N/A
Organization’s email JULIE.CISNEROS.85@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 JULIE CISNEROS
Signature Title CEO
Signature Date 11/15/19

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