FORM 1023-EZ for DONT COUNT ME OUT OUTREACH CENTER

Field Data
EIN 84-2714558
Case Number EO-2019284-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DONT COUNT ME OUT OUTREACH CENTER
Organization’s Mailing Address 1557 PRUITT RD
City WEST POINT
State MS
ZIP 39773
Accounting period End 12
Primary contact name TEMEKA JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEUNNA WILEY
PRESIDENT
80 JOHN MARK
PONTOTOC MS 38863

Officer/Director/Trustee Two

RH BROWN
VICE PRESIDENT
PO BOX 9307
COLUMBUS MS 39705

Officer/Director/Trustee Three

ANNER CUNNINGHAM
SECRETARY
28924 HIGHWAY 50 EAST
WEST POINT MS 39773

Officer/Director/Trustee Four

NYOKA HENDERSON
TREASURER
122 TEDFORD DRIVE
WEST POINT MS 39773

Officer/Director/Trustee Five

KIMBERLY MULLIN
MEMBER
PO BOX 80
WEST POINT MS 39773

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 SHEUNNA WILEY
Signature Title PRESIDENT
Signature Date 10/7/19

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