FORM 1023-EZ for UCP COMMUNITY OUTREACH INC

Field Data
EIN 81-4714401
Case Number EO-2019310-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UCP COMMUNITY OUTREACH INC
Organization’s Mailing Address 8208 S 5TH AVE
City PHOENIX
State AZ
ZIP 85041
Accounting period End 12
Primary contact name JUSTIN CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN CAMPBELL
CEO/PRESIDENT
8208
PHOENIX AZ 85041

Officer/Director/Trustee Two

KRISTEN CAMPBELL
VICE PRESIDENT
8208 S 5TH AVE
PHOENIX AZ 85041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/16
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUSTIN CAMPBELL
Signature Title CEO/PRESIDENT
Signature Date 11/4/19

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