FORM 1023-EZ for SLAMS OUTREACH INC

Field Data
EIN 84-3756569
Case Number EO-2019329-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SLAMS OUTREACH INC
Organization’s Mailing Address 424 HARRIS LN
City LA CENTER
State KY
ZIP 42056
Accounting period End 12
Primary contact name JOHN M HALICKS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA A MATUSZEWSKI
DIRECTOR
424 HARRIS LN
LA CENTER KY 42056

Officer/Director/Trustee Two

GRETCHEN M PURVIS
DIRECTOR
P O BOX 90
LA CENTER KY 42056

Officer/Director/Trustee Three

CASSIE L THOMPSON
DIRECTOR
350 COLLEGE ST
HARDIN KY 42048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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 PATRICIA A MATUSZEWSKI
Signature Title DIRECTOR
Signature Date 11/21/19

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