FORM 1023-EZ for TAKE NOTICE OUTREACH INCORPORATED

Field Data
EIN 45-5476629
Case Number EO-2018136-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TAKE NOTICE OUTREACH INCORPORATED
Organization’s Mailing Address 4108 87TH STREET
City KENOSHA
State WI
ZIP 53142-5029
Accounting period End 12
Primary contact name LAMONT DAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAMONT DAGEN
PRESIDENT
4108 87TH STREET
KENOSHA WI 53142-5029

Officer/Director/Trustee Two

REVEREND LEONYER RICHARDSON
FINANCE
1508 HAZELWOOD COURT
GURNEE IL 60031

Officer/Director/Trustee Three

TRENAI DAGEN
SECRETARY
4108 87TH STREET
KENOSHA WI 53142-5029

Officer/Director/Trustee Four

TRACI NOLEN-JACKSON
HUMAN RESOURCES
1011 SANDLER COURT
MUNDELEIN IL 60060

Officer/Director/Trustee Five

WILLIAM JACKSON
PUBLIC RELATIONS
1011 SANDLER COURT
MUNDELEIN IL 60060

Organization’s website
Organization’s email TAKENOTICEOUTREACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/13
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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 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 LAMONT DAGEN
Signature Title PRESIDENT
Signature Date 5/11/18

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