FORM 1023-EZ for RAAPUBLIC COMMUNITY OUTREADH

Field Data
EIN 83-3988253
Case Number EO-2019120-000080
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAAPUBLIC COMMUNITY OUTREADH
Organization’s Mailing Address 6140 EARLY AUTUMN DRIVE
City CENTREVILLE
State VA
ZIP 20120
Accounting period End 12
Primary contact name DEANNE ATHENA GUTIERREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNE GUTIERREZ
BOARD OF DIRECTORS, VICE PRESIDENT
6140 EARLY AUTUMN DR
CENTREVILLE VA 20120

Officer/Director/Trustee Two

CAMERON KIRBY
BOARD OF DIRECTORS, PRESIDENT
20043 SILVER CREEK TERRACE APT 306
ASHBURN VA 20147

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 DEANNE GUTIERREZ
Signature Title BOARD OF DIRECTORS, VICE PRESIDENT
Signature Date 4/26/19

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