FORM 1023-EZ for WESTSIDE COMMUNITY FAMILY OUTREACHCENTER INC

Field Data
EIN 84-2059503
Case Number EO-2019210-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTSIDE COMMUNITY FAMILY OUTREACHCENTER INC
Organization’s Mailing Address 1210 W 10TH ST
City ANDERSON
State IN
ZIP 46016
Accounting period End 12
Primary contact name JEROME SLOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEROME SLOSS
PRESIDENT
1015 IRVING WAY
ANDERSON IN 46016

Officer/Director/Trustee Two

DARREN SLOSS
VICE PRESIDENT
1612 DREXEL DR
ANDERSON IN 46011

Officer/Director/Trustee Three

DONNA SLOSS
FINANCIAL SECRETARY
1015 IRVING WAY
ANDERSON IN 46016

Officer/Director/Trustee Four

JOSEPH ELLIOTT
BOARD MEMBER
4601 BALL AVE
MUNCIE IN 47303

Officer/Director/Trustee Five

TAMMY SLOSS
BOARD MEMBER
1612 DREXEL DR
ANDERSON IN 46011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 JEROME SLOSS
Signature Title PRESIDENT
Signature Date 7/25/19
EIN 84-2059503
Case Number EO-2019210-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTSIDE COMMUNITY FAMILY OUTREACH CENTER INC
Organization’s Mailing Address 1210 W 10TH ST
City ANDERSON
State IN
ZIP 46016
Accounting period End 12
Primary contact name JEROME SLOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEROME SLOSS
PRESIDENT
1015 IRVING WAY
ANDERSON IN 46016

Officer/Director/Trustee Two

DARREN SLOSS
VICE PRESIDENT
1612 DREXEL DR
ANDERSON IN 46011

Officer/Director/Trustee Three

DONNA SLOSS
FINANCIAL SECRETARY
1015 IRVING WAY
ANDERSON IN 46016

Officer/Director/Trustee Four

JOSEPH ELLIOTT
BOARD MEMBER
4601 BALL AVE
MUNCIE IN 47303

Officer/Director/Trustee Five

TAMMY SLOSS
BOARD MEMBER
1612 DREXEL DR
ANDERSON IN 46011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 JEROME SLOSS
Signature Title PRESIDENT
Signature Date 7/25/19

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