FORM 1023-EZ for PURE HEART OUTREACH INC

Field Data
EIN 85-3737495
Case Number EO-2020310-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURE HEART OUTREACH INC
Organization’s Mailing Address 2850 BRANTON WOOD DRIVE
City COLUMBUS
State GA
ZIP 31907
Accounting period End 12
Primary contact name ERICA BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE STROTHER
PRESIDENT
2850 BRANTON WOOD DRIVE
COLUMBUS GA 31907

Officer/Director/Trustee Two

RAJAHA WASHINGTON
VICE PRESIDENT
2850 BRANTON WOOD DRIVE
COLUMBUS GA 31907

Officer/Director/Trustee Three

ERICA BROOKS
SECRETARY
15 PERRY STREET SUITE 349
NEWNAN GA 30263

Officer/Director/Trustee Four

IYONHIA WASHINTON
TREASURER
2850 BRANTON WOOD DRIVE
COLUMBUS GA 31907

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 JACQUELINE STROTHER
Signature Title PRESIDENT
Signature Date 11/3/2020

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