FORM 1023-EZ for THE FREDERIKSON OUTREACH COALITION INC

Field Data
EIN 82-4153183
Case Number EO-2018051-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FREDERIKSON OUTREACH COALITION INC
Organization’s Mailing Address 11801 BERWICK CT
City FREDERICKSBURG
State VA
ZIP 22408
Accounting period End 12
Primary contact name JEREMY BULLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES BULLOCK
TREASURER
405 LORRAINE AVE
FREDERICKSBURG VA 22408

Officer/Director/Trustee Two

JEREMY BULLOCK
PRESIDENT
11801 BERWICK CT
FREDERICKSBURG VA 22408

Officer/Director/Trustee Three

CARA BULLOCK
SECRETARY
11801 BERWICK CT
FREDERICKSBURG VA 22408

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/18
Organization Incorporation State VA
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 Yes
Disaster relief assistance Yes
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 JEREMY BULLOCK
Signature Title PRESIDENT
Signature Date 2/17/18

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