FORM 1023-EZ for BE REAL OUTREACH

Field Data
EIN 47-2682392
Case Number EO-2015007-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BE REAL OUTREACH
Organization’s Mailing Address 1675 TOPAZ DR
City LAKE HAVASU CITY
State AZ
ZIP 86403-5627
Accounting period End 8
Primary contact name BILL STIEBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BILL STIEBS
PRESIDENT
1675 TOPAZ DRIVE
LAKE HAVASU AZ 86403-5627

Officer/Director/Trustee Two

MARK ANDERSON
VICE PRESIDENT
1675 TOPAZ DRIVE
LAKE HAVASU AZ 86403-5627

Officer/Director/Trustee Three

LYNN STIEBS
SECRETARY
1675 TOPAZ DRIVE
LAKE HAVSU AZ 86403-5627

Officer/Director/Trustee Four

KARIN ANDERSON
TREASURER
1675 TOPAZ DRIVE
LAKE HAVSU AZ 86403-5627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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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