FORM 1023-EZ for COMMUNITY CARES OUTREACH - GADSDENINC

Field Data
EIN 47-5431066
Case Number EO-2015314-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY CARES OUTREACH - GADSDENINC
Organization’s Mailing Address 118 SW 3RD ST
City HAVANA
State FL
ZIP 32333
Accounting period End 12
Primary contact name LIONEL LEONARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMSEY HELMS
PRESIDENT
3059 TALLAVANA TRAIL
HAVANA FL 32333

Officer/Director/Trustee Two

BERTA JEAN KEMP
VICE-PRESIDENT
129 TYRE ROAD
HAVANA FL 32333

Officer/Director/Trustee Three

KAY M SCHERDIN
SECRETARY
707 COLLINS ROAD 1
HAVANA FL 32333

Officer/Director/Trustee Four

LAURA HELMS
DIRECTOR
3059 TALLAVANA TRAIL
HAVANA FL 32333

Officer/Director/Trustee Five

J B JONES
DIRECTOR
188 LITTLE FARM ROAD
HAVANA FL 32333

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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
Signature Title
Signature Date

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