FORM 1023-EZ for SENIOR OUTREACH ORGANIZATION

Field Data
EIN 82-4754674
Case Number EO-2018145-000686
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIOR OUTREACH ORGANIZATION
Organization’s Mailing Address 159 WILLIAMS ROAD
City CULLMAN
State AL
ZIP 35057
Accounting period End 12
Primary contact name BARRY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY BROWN
PRESIDENT
159 WILLIAMS ROAD
CULLMAN AL 35057

Officer/Director/Trustee Two

TERRELL DOBBINS
VICE PRESIDENT
50 CO RD 692
CULLMAN AL 35055

Officer/Director/Trustee Three

ROY MOON
SECRETARY
2631 CO RD 1223
VINEMONT AL 35179

Organization’s website
Organization’s email SENIOROUTREACH.ORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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 BARRY BROWN
Signature Title PRESIDENT
Signature Date 5/23/18

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