FORM 1023-EZ for URBAN OUTREACH ASSOCIATION GRIFFIN INC

Field Data
EIN 81-3433129
Case Number EO-2017158-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN OUTREACH ASSOCIATION GRIFFIN INC
Organization’s Mailing Address 101 N 8TH STREET UNIT 882
City GRIFFIN
State GA
ZIP 30224-0023
Accounting period End 6
Primary contact name REGINALD WATTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD WATTS
CHIEF EXECUTIVE OFFICER
331 REDWOLF ROAD
GRIFFIN GA 30224-9001

Officer/Director/Trustee Two

SHAHEER BEYAH
PRESIDENT
820 PAMELA DRIVE
GRIFFIN GA 30224-4737

Officer/Director/Trustee Three

ROBERT L TAYLOR
VICE PRESIDENT
P O BOX 1981
GRIFFIN GA 30224-1287

Officer/Director/Trustee Four

LYNETTE POSEY-GOODMAN
SECRETARY
P O BOX 882
GRIFFIN GA 30224-0023

Officer/Director/Trustee Five

KIMBERLY MATHEWS
TREASURER
P O BOX 1658
GRIFFIN GA 30224-0039

Organization’s website
Organization’s email UOAGRIFFIN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/2016
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 Yes
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 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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