FORM 1023-EZ for PREVAIL COMMUNITY OUTREACH

Field Data
EIN 95-4636519
Case Number EO-2018054-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREVAIL COMMUNITY OUTREACH
Organization’s Mailing Address 800 CORRIANDER DRIVE F
City TORRANCE
State CA
ZIP 90502
Accounting period End 12
Primary contact name MARISSA BOWMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARISSA BOWMAN
CEO
309 E HILLCREST BLVD 392
INGLEWOOD CA 90301

Officer/Director/Trustee Two

JERRI SAWYER
SECRETARY
800 CORRIANDER DRIVE
TORRANCE CA 90502

Officer/Director/Trustee Three

PHYLLIS BOWMAN
CFO
6114 S VICTORIA AVE
LOS ANGELES CA 90043

Officer/Director/Trustee Four

DESH WERAGODA
DIRECTOR OF MARKETING
1147 HIGHLAND AVE
MANHATTAN BEACH CA 90266

Officer/Director/Trustee Five

CAMILLE BROWN
VOLUNTEER COORDINATOR
819 FLORA DRIVE
INGLEWOOD CA 90302

Organization’s website GOPREVAIL.ORG
Organization’s email GOPREVAIL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
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 Yes
Correctness Declaration Yes
Signature Name MARISSA BOWMAN
Signature Title CEO
Signature Date 2/21/18

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