FORM 1023-EZ for QUEENS COMMUNITY OUTREACH

Field Data
EIN 85-2391944
Case Number EO-2020244-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUEENS COMMUNITY OUTREACH
Organization’s Mailing Address 318 BROOKWOOD AVENUE
City FAYETTEVILLE
State NC
ZIP 28301
Accounting period End 12
Primary contact name QUEEN DAWSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUEEN DAWSON
PRESIDENT
318 BROOKWOOD AVENUE
FAYETTEVILLE NC 28301

Officer/Director/Trustee Two

MYRA GRAHAM
BOARDMEMBER
206 LARK AVENUE
LUMBERTON NC 28358

Officer/Director/Trustee Three

SHERRY DAWSON-WILLIAMS
BOARDMEMBER
3933 EASTDALE DRIVE
FAYETTEVILLE NC 28311

Officer/Director/Trustee Four

MARJORIE ANDREWS
BOARDMEMBER
5806 DURANGO DRIVE
KILLEEN TX 76542

Officer/Director/Trustee Five

CRYSTAL AMAKER
BOARDMEMBER
6010 ROCKFISH ROAD
HOPE MILLS NC 28348

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
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 QUEEN DAWSON
Signature Title PRESIDENT
Signature Date 8/27/2020

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