FORM 1023-EZ for OZARK OUTREACH INC

Field Data
EIN 82-2559545
Case Number EO-2019079-000499
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OZARK OUTREACH INC
Organization’s Mailing Address 12790 STONEY POINT RD
City ROGERS
State AR
ZIP 72758-7540
Accounting period End 12
Primary contact name MAUREEN COVER-BRYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAUREEN COVER-BRYAN
DIRECTOR
12790 STONEY POINT RD
ROGERS AR 72758-7540

Officer/Director/Trustee Two

TIFFANY BERRY
DIRECTOR
201 NW 2ND ST
BENTONVILLE AR 72712-5234

Officer/Director/Trustee Three

DEVIN SHAW
DIRECTOR
12789 STONEY POINT RD
ROGERS AR 72758-7540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/17
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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 MAUREEN COVER-BRYAN
Signature Title DIRECTOR
Signature Date 3/18/19

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