FORM 1023-EZ for DIVERSITY OUTREACH INC

Field Data
EIN 83-4108976
Case Number EO-2019086-000681
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVERSITY OUTREACH INC
Organization’s Mailing Address 2139 BENEDICT RD
City JACKSONVILLE
State FL
ZIP 32209
Accounting period End 6
Primary contact name BLAKE HOUSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE HOUSTON
PRESIDENT
2139 BENEDICT RD
JACKSONVILLE FL 32209

Officer/Director/Trustee Two

KEISHA HOUSTON
VICE PRESIDENT
2139 BENEDICT RD
JACKSONVILLE FL 32209

Officer/Director/Trustee Three

ANN SINN
SECRETARY
2605 GLEN MAWR RD
JACKSONVILLE FL 32207

Organization’s website
Organization’s email BLAKEHOUSTON81@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 BLAKE HOUSTON
Signature Title PRESIDENT
Signature Date 3/25/19

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