FORM 1023-EZ for COME AS YOU ARE OUTREACH MINISTRY

Field Data
EIN 82-2868146
Case Number EO-2021109-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COME AS YOU ARE OUTREACH MINISTRY
Organization’s Mailing Address 4936 HAMILTON
City CHARLOTTE
State NC
ZIP 28216
Accounting period End 12
Primary contact name W
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIE FORD
VICE PRESIDENT
4936 HAMILTON CIR
CHARLOTTE NC 28216

Officer/Director/Trustee Two

CHERYL DEVUL
TREASURY
911 MCDANIEL COURT
HERNDON VA 20170

Officer/Director/Trustee Three

SABRINA STEELE
ADMINISTRATOR
45742 DAYTON SQUARE
STERLING VA 20166

Officer/Director/Trustee Four

RICHARD OWENS
SECRETARY
2607 KENDALL DR
CHARLOTTE NC 28216

Officer/Director/Trustee Five

MARIE STEELE
DIRECTOR AND PRESIDENT
4936 HAMILTON CR
CHARLOTTE NC 28216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2017
Organization Incorporation State NC
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: 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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIE STEELE
Signature Title DIRECTOR AND PRESIDENT
Signature Date 4/15/2021
EIN 82-2868146
Case Number EO-2017303-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COME AS YOU ARE OUTREACH MINISTRY
Organization’s Mailing Address 265 EASTCHESTER DR STE 133 BOX 231
City HIGH POINT
State NC
ZIP 27262
Accounting period End 12
Primary contact name MARIE STEELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIE STEELE
DIRECTOR AND PRESIDENT
2503-C AMBASSADOR COURT
HIGH POINT NC 27265

Officer/Director/Trustee Two

KELVIN SHOUSE
DIRECTOR/VP/TREASURER
2207 EAST GREEN DR
HIGH POINT NC 27260

Officer/Director/Trustee Three

STACEY CAROLINA
DIRECTOR AND SECRETARY
1304 HASTY SCHOOL RD
THOMASVILLE NC 27360

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2017
Organization Incorporation State NC
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: 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
Signature Title
Signature Date

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