FORM 1023-EZ for SMITH OUTREACH

Field Data
EIN 82-1285369
Case Number EO-2017116-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SMITH OUTREACH
Organization’s Mailing Address 5583 SYCAMORE COVE
City HORN LAKE
State MS
ZIP 38637
Accounting period End 12
Primary contact name ERICA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA SMITH
PRESIDENT
5583 SYCAMORE COVE
HORN LAKE MS 38637

Officer/Director/Trustee Two

SHIRLENE SMITH
SECRETARY
3342 SHADOW OAKS PKWY APT 40
HORN LAKE MS 38637

Officer/Director/Trustee Three

CARLOS SMITH
TREASURER
PO BOX 61
HORN LAKE MS 38637

Organization’s website
Organization’s email TSOUT2016@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/24/2017
Organization Incorporation State MS
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: Yes
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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