FORM 1023-EZ for ST MICHAELS OUTREACH

Field Data
EIN 84-4967293
Case Number EO-2020069-000494
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST MICHAELS OUTREACH
Organization’s Mailing Address 2699 MARYKNOLL DR
City COLTON
State CA
ZIP 92324
Accounting period End 12
Primary contact name NATALIE ROQUET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ROQUET
CEO
2699 MARYKNOLL DR
COLTON CA 92324

Officer/Director/Trustee Two

NATALIE ROQUET
SECRETARY
2699 MARYKNOLL DR
COLTON CA 92324

Officer/Director/Trustee Three

GINA ROQUET
CFO
2699 MARYKNOLL DR
COLTON CA 92324

Officer/Director/Trustee Four

LAUREN MATHENY
BOARD MEMBER
2699 MARYKNOLL DR
COLTON CA 92324

Organization’s website
Organization’s email MJROQUET@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 MICHAEL ROQUET
Signature Title CEO
Signature Date 3/6/2020

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