FORM 1023-EZ for LOCAL CREW OUTREACH

Field Data
EIN 86-2902478
Case Number EO-2021099-000817
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOCAL CREW OUTREACH
Organization’s Mailing Address 661 EDENS COURT
City CENTERTON
State AR
ZIP 72719
Accounting period End 12
Primary contact name JOSE HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE HERNANDEZ
PRESIDENT
661 EDENS COURT
CENTERTON AR 72719

Officer/Director/Trustee Two

JONATHAN MOTA
VICE-PRESIDENT
310 E LAURA STREET
ROGERS AR 72756

Officer/Director/Trustee Three

ALEJANDRA TORRES
SECRETARY
2338 W PERRY ROAD
ROGERS AR 72758

Officer/Director/Trustee Four

CHASITY HERNANDEZ
TREASURER
661 EDENS COURT
CENTERTON AR 72719

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2021
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name JOSE HERNANDEZ
Signature Title PRESIDENT
Signature Date 3/29/2021

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