FORM 1023-EZ for A DIVINE SPACE FOR OUTREACH

Field Data
EIN 83-3786409
Case Number EO-2019070-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A DIVINE SPACE FOR OUTREACH
Organization’s Mailing Address 809 WAYNELEE DR
City LANCASTER
State TX
ZIP 75146
Accounting period End 12
Primary contact name KEENA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEENA WILSON
PRESIDENT, DIRECTOR
809 WAYNELEE DR
LANCASTER TX 75146

Officer/Director/Trustee Two

BRITTANY CRUMP
SECRETARY, DIRECTOR
757 BAHAMA DR
LANCASTER TX 75146

Officer/Director/Trustee Three

MARY TUCKER
TREASURER, DIRECTOR
1442 GLEN AVE
DALLAS TX 75216

Officer/Director/Trustee Four

TYRONE WILSON
DIRECTOR
809 WAYNELEE DR
LANCASTER TX 75146

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/19
Organization Incorporation State TX
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: 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 KEENA WILSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 3/8/19

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