FORM 1023-EZ for COMMUNITY OUTREACH SERVICE INC

Field Data
EIN 82-1066346
Case Number EO-2019200-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY OUTREACH SERVICE INC
Organization’s Mailing Address PO BOX 3372
City LOUISVILLE
State KY
ZIP 40201
Accounting period End 12
Primary contact name MARJA FERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARJA FERMAN
CEO
1723 NELSON AVE
LOUISVILLE KY 40216

Officer/Director/Trustee Two

ISAAC SYNNESTVEDT
PRESIDENT
1315 SOUTH 26TH STREET
LOUISVILLE KY 40210

Officer/Director/Trustee Three

SIERRA SYNNESTVEDT
TREASURER
1315 SOUTH 26TH STREET
LOUISVILLE KY 40210

Officer/Director/Trustee Four

NINA ARMSTRONG
VICE PRESIDENT
1738 HALE AVENUE
LOUISVILLE KY 40210

Organization’s website WWW.COMMUNITYOUTREACHKY.COM
Organization’s email COMMUNITYOUTREACHKY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 MARJA FERMAN
Signature Title CEO
Signature Date 7/17/19

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