FORM 1023-EZ for CREEK COMMUNITY OUTREACH INC

Field Data
EIN 82-2242887
Case Number EO-2017240-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREEK COMMUNITY OUTREACH INC
Organization’s Mailing Address 3141 INGLEWOOD PLACE
City ARLINGTON
State TN
ZIP 38002
Accounting period End 12
Primary contact name REGINALD EDWARDS SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD EDWARDS SR
PRESIDENT
3141 INGLEWOOD PLACE
ARLINGTON TN 38002

Officer/Director/Trustee Two

MERLEAN BANKS
TREASURER
3141 INGLEWOOD PLACE
ARLINGTON TN 38002

Officer/Director/Trustee Three

SHEILA MATHIS
SECRETARY
3141 INGLEWOOD PLACE
ARLINGTON TN 38002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2017
Organization Incorporation State TN
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: 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
Signature Title
Signature Date

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