FORM 1023-EZ for NJH OUTREACH CENTER INC

Field Data
EIN 83-3110625
Case Number EO-2019079-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NJH OUTREACH CENTER INC
Organization’s Mailing Address PO BOX 14723
City GREENSBORO
State NC
ZIP 27415
Accounting period End 12
Primary contact name NAKIA SIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CECIL LAMONT
TREASURER
PO BOX 14723
GREENSBORO NC 27415

Officer/Director/Trustee Two

CAROLINE SLADE
SECRETARY
211 QUAIL MEADOWS RD
YANCEYVILLE NC 27379

Officer/Director/Trustee Three

NAKIA SIX
EXECUTIVE DIRECTOR
1307 SPRY STREET
GREENSBORO NC 27405

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 NAKIA SIX
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/18/19

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