FORM 1023-EZ for PERCEIVE ME OUTREACH CENTER INC

Field Data
EIN 81-3448524
Case Number EO-2017202-000416
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERCEIVE ME OUTREACH CENTER INC
Organization’s Mailing Address 918 MAGNOLIA CIRCLE
City JONESBORO
State GA
ZIP 30236
Accounting period End 12
Primary contact name VANESSA CISSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANESSA CISSE
PRESIDENT CEO (CHIEF EXECUTIVE OFF
918 MAGNOLIA CIRCLE
JONESBORO GA 30236

Officer/Director/Trustee Two

CATHERINE KORIA
COO (CHIEF OPERATING OFFICER)
9735 COUNTRY MEADOWS LN
LAUREL MA 20723

Officer/Director/Trustee Three

SONIA ZAMBE
CFO (CHIEF FINANCIAL OFFICER)
11640 STEWART LANE APT 302
SILVER SPRING MD 20904

Officer/Director/Trustee Four

HENRI AMANVI
CIO (CHIEF INFORMATION OFFICER)
918 MAGNOLIA CIRCLE
JONESBORO GA 30236

Officer/Director/Trustee Five

CEDRIC YA
CETO (CHIEF EDUCATIONTRAINING OFF)
918 MAGNOLIA CIRCLE
JONESBORO GA 30236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2016
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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