FORM 1023-EZ for ROBERSON MEMORIAL OUTREACH CENTER

Field Data
EIN 90-0882567
Case Number EO-2018130-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROBERSON MEMORIAL OUTREACH CENTER
Organization’s Mailing Address P O BOX 7642
City GREENWICH
State CT
ZIP 6830
Accounting period End 12
Primary contact name GREGORY GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGORY GRIFFIN
PASTOR
15 N LAWRENCE AVE
ELMSFORD NY 10523

Officer/Director/Trustee Two

JIMMY BRISTOW
TREASURER
288 ABBOTT AVE
ELMSFORD NY 10523

Officer/Director/Trustee Three

SANDRA THOMPSON
FINANCE OFFICER
P O BOX 302
STAMFORD CT 6904

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/12
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 GREGORY GRIFFIN
Signature Title PASTOR
Signature Date 5/7/18

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