FORM 1023-EZ for COMMUNITY CHILDRENS OUTREACH

Field Data
EIN 46-5188665
Case Number EO-2014294-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY CHILDRENS OUTREACH
Organization’s Mailing Address PO BOX 516
City LEICESTER
State NC
ZIP 28748
Accounting period End 12
Primary contact name CAROL BRYSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WYLLENE SKIPPER
CHAIR
617 LOWER SHUTIN ROAD
HOT SPRINGS NC 28743

Officer/Director/Trustee Two

CAROLYN FRISBEE
CO-CHAIR
144 BOB WELLS RD
LEICESTER NC 28748

Officer/Director/Trustee Three

CAROL BRYSON
SECRETARY
14 BUCKNER ROAD
LEICESTER NC 28748

Officer/Director/Trustee Four

MARJORIE ICENHOWER
TREASURER
151 ICENHOWER ROAD
LEICESTER NC 28748

Officer/Director/Trustee Five

PEGGY MCCONNELL
COMMUNICATIONS
96 CHESTNUT STREET
MARS HILL NC 28754

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2014
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 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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