FORM 1023-EZ for A1 COMMUNITY OUTREACH INC

Field Data
EIN 82-5249885
Case Number EO-2019121-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A1 COMMUNITY OUTREACH INC
Organization’s Mailing Address 10123 E SLIGH AV E
City TAMPA
State FL
ZIP 33610-9229
Accounting period End 12
Primary contact name GRISEL RUIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRISEL RUIZ
SDCEO
10123 E SLIGH AVE
TAMPA FL 33610-9229

Officer/Director/Trustee Two

MICHELLE GONZALEZ
DCFO
10123 E SLIGH AVE
TAMPA FL 33610-9229

Organization’s website HTTPS://A1COMMUNITYOUTREACH.WIXSITE.COM/A1ORG
Organization’s email A1COMMUNITYOUTREACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GRISEL RUIZ
Signature Title SDCEO
Signature Date 4/29/19

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