FORM 1023-EZ for RUSSIAVILLE COMMUNITY OUTREACH

Field Data
EIN 83-1684740
Case Number EO-2019039-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RUSSIAVILLE COMMUNITY OUTREACH
Organization’s Mailing Address PO BOX 296
City RUSSIAVILLE
State IN
ZIP 46979-296
Accounting period End 12
Primary contact name NED SUTHERLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NED SUTHERLAND
PRESIDENT
PO BOX 291
RUSSIAVILLE IN 46979-291

Officer/Director/Trustee Two

STEVE BISHOP
VICE-PRESIDENT
PO BOX 313
RUSSIAVILLE IN 46979-313

Officer/Director/Trustee Three

MARY ANN SHUCK
SECRETARY
290 NORTH STREET
RUSSIAVILLE IN 46979

Officer/Director/Trustee Four

JUDI JOHNSON
TREASURE
7510 W 220 S
RUSSIAVILLE IN 46979

Organization’s website N/A
Organization’s email RUSSIAVILLECOMMUNITYOUTREACH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 NED SUTHERLAND
Signature Title PRESIDENT
Signature Date 2/6/19

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