FORM 1023-EZ for CROSSOVER COMMUNITY OUTREACH INC

Field Data
EIN 82-1727847
Case Number EO-2018022-000204
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSOVER COMMUNITY OUTREACH INC
Organization’s Mailing Address 1735 JACKSON ST
City FORT MYERS
State FL
ZIP 33901
Accounting period End 12
Primary contact name MATTHEW RICHARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW RICHARD
REGISTER AGENT
1735 JACKSON ST
FORT MYERS FL 33901

Organization’s website WWW.CROSSOVERCHANGE.COM
Organization’s email CROSSOVERCHANGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 MATTHEW RICHARD
Signature Title REGISTER AGENT
Signature Date 1/19/18

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