FORM 1023-EZ for MARKSVILLE MINISTRY OUTREACH

Field Data
EIN 47-5460212
Case Number EO-2015306-000472
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARKSVILLE MINISTRY OUTREACH
Organization’s Mailing Address 1515 HWY 1194
City MARKSVILLE
State LA
ZIP 71351
Accounting period End 12
Primary contact name DONNA DAUZAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA DAUZAT
DIRECTOR
1515 HWY 1194
MARKSVILLE

Officer/Director/Trustee Two

VERONICA JUNEAU
DIRECTOR
254 HUMPHRIES ROAD
HESSMER LA 71341

Officer/Director/Trustee Three

CHRISTOBAL LOPEZ
DIRECTOR
116 WINNERS CIRCLE
HESSMER LA 71341

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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
Signature Title
Signature Date

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