FORM 1023-EZ for CRI OUT INTERNATIONAL INCORPORATED

Field Data
EIN 47-3664976
Case Number EO-2015187-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRI OUT INTERNATIONAL INCORPORATED
Organization’s Mailing Address 5108 BURNLEY STATION ROAD
City BARBOURSVILLE
State VA
ZIP 22923-1824
Accounting period End 12
Primary contact name JEREMY VESTAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEREMY VESTAL
EXECUTIVE DIRECTOR
5108 BURNLEY STATION ROAD
BARBOURSVILLE VA 22923-1824

Officer/Director/Trustee Two

CHRISTOPHER KRAMER
DIRECTOR
5703 WEST ELKTON ROAD
SOMERVILLE OH 45064-9477

Officer/Director/Trustee Three

SUSAN ALFORD CARTER
DIRECTOR
1120 N OCOEE STREET
CLEVELAND TN 37311-4475

Officer/Director/Trustee Four

DANNY EDWARDS
DIRECTOR
14257 POPLAR MEADOW LANE
BARBOURSVILLE VA 22923-8833

Officer/Director/Trustee Five

TAMMY VESTAL
DIRECTOR
5108 BURNLEY STATION ROAD
BARBOURSVILLE VA 22923-1824

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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
Signature Title
Signature Date

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