FORM 1023-EZ for PROVIDENCE COMMUNITY OUTREACH MINISTRIES

Field Data
EIN 81-4657147
Case Number EO-2019226-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVIDENCE COMMUNITY OUTREACH MINISTRIES
Organization’s Mailing Address 903 FENCE LINE RD APT 433
City ARLINGTON
State TX
ZIP 76001
Accounting period End 11
Primary contact name SHALANDRA DABBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHALANDRA DABBS
CEO AND PRESIDENT
903 FENCE LINE RD APT 433
ARLINGTON TX 76001

Officer/Director/Trustee Two

SHARMISA ANDERSON
SECRETARY
2355 NORTH HIGHWAY 360 APT 1031
GRAND PRAIRIE TX 75010

Officer/Director/Trustee Three

JERRY BROWN
VICE PRESIDENT
804 BLUE SCOPE
DALLAS TX 75211

Officer/Director/Trustee Four

DADRIAN DABBS
TREASURER
2355 NORTH HIGHWAY 360 APT 1031
GRAND PRAIRIE TX 75010

Organization’s website HTTPS://PCOMOUTREACHMINIST.WIXSITE.COM/WEBSITE
Organization’s email PCOMOUTREACHMINISTRIES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/16
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
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 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 SHALANDRA DABBS
Signature Title CEO AND PRESIDENT
Signature Date 8/12/19

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