FORM 1023-EZ for ESPERANZA DOMINICAN OUTREACH

Field Data
EIN 83-1905764
Case Number EO-2018298-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESPERANZA DOMINICAN OUTREACH
Organization’s Mailing Address 131 SHADY LANE
City FAYETTEVILLE
State NY
ZIP 13066
Accounting period End 12
Primary contact name STEVI WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVI WILSON
PRESIDENT
131 SHADY LA
FAYETTEVILLE NY 13066

Officer/Director/Trustee Two

MICHELE BROOKS
SECRETARY
117 JAY STREET
CHITTENANGO NY 13037

Officer/Director/Trustee Three

MARYBETH ESPOSITO
OFFICER
4842 CAREY DRIVE
FAYETTEVILLE NY 13104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q12 - Fund Raising and/or Fund Distribution
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 Yes
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 STEVI WILSON
Signature Title PRESIDENT
Signature Date 10/23/18

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