FORM 1023-EZ for NORTH COUNTY OUTREACH INITIATIVE

Field Data
EIN 84-3628733
Case Number EO-2020043-000225
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH COUNTY OUTREACH INITIATIVE
Organization’s Mailing Address 656 BEL AIR DRIVE W
City VISTA
State CA
ZIP 92084-5525
Accounting period End 12
Primary contact name RANDALL MAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN BENTLEY
EXECUTIVE DIRECTOR
656 BEL AIR DR W
VISTA CA 92084-5525

Officer/Director/Trustee Two

RANDALL MAH
TREASURER
39960 MILLBROOK WAY UNIT A
MURRIETA CA 92563-7392

Officer/Director/Trustee Three

TOSHIKO REINECKE
SECRETARY
24205 HUNTRIDGE DR
MURRIETA CA 92562-2221

Officer/Director/Trustee Four

SHARON ROBISON
DIRECTOR
923 LA TIERRA DR
SAN MARCOS CA 92078-4614

Officer/Director/Trustee Five

CAROLYN BLUMBERG
DIRECTOR
3227 ROBERTA LN
OCEANSIDE CA 92054-3845

Organization’s website N/A
Organization’s email TAXDESIGNS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 RANDALL MAH
Signature Title TREASURER
Signature Date 2/10/2020

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