FORM 1023-EZ for COTLG COMMUNITY OUTREACH INCORPORATED

Field Data
EIN 61-2000262
Case Number EO-2021235-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COTLG COMMUNITY OUTREACH INCORPORATED
Organization’s Mailing Address PO BOX 2928
City WEST HELENA
State AR
ZIP 72390-0928
Accounting period End 12
Primary contact name THOMAS JACKSON II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JACKSON II
DIRECTOR
701 KENTUCKY
WEST HELENA AR 72390-1414

Officer/Director/Trustee Two

KEVIN STACKHOUSE
DIRECTOR
126 N FIFTH
WEST HELENA AR 72390-2515

Officer/Director/Trustee Three

KENNY SWOPES
DIRECTOR
10806 VALIANT DRIVE
LITTLE ROCK AR 72209-8148

Officer/Director/Trustee Four

DEWAYNE STACKHOUSE
DIRECTOR
662 KENTUCKY
WEST HELENA AR 72390-1403

Organization’s website
Organization’s email COTLG.OUTREACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2021
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 THOMAS JACKSON II
Signature Title DIRECTOR
Signature Date 8/20/2021

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