FORM 1023-EZ for PANHANDLE AREA COMMUNITY OUTREACH

Field Data
EIN 90-0722492
Case Number EO-2021214-000600
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANHANDLE AREA COMMUNITY OUTREACH
Organization’s Mailing Address 10611 NW SR 20
City BRISTOL
State FL
ZIP 32321
Accounting period End 12
Primary contact name WINTER COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WINTER COLLINS
PRESIDENT
12958 COLLINS HILL LANE
BRISTOL FL 32321

Officer/Director/Trustee Two

GRACY JACOBS
TREASURER
NW COUNTY ROAD 12
BRISTOL FL 32321

Officer/Director/Trustee Three

MARIA CRUMP
SECRETARY
12743 NW COUNTY ROAD 12
BRISTOL FL 32321

Officer/Director/Trustee Four

JORDAN WAHLQUIST
DIRECTOR
LAKE MYSTIC ROAD
BRISTOL FL 32321

Officer/Director/Trustee Five

TINA GOODMAN
VICE PRESIDENT
HWY 12 SOUTH
BRISTOL FL 32321

Organization’s website
Organization’s email WCOLLINS@CWCSSBH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2011
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WINTER COLLINS
Signature Title PRESIDENT
Signature Date 7/30/2021

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