FORM 1023-EZ for PROJECT CARE OUTREACH

Field Data
EIN 81-3621621
Case Number EO-2016239-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT CARE OUTREACH
Organization’s Mailing Address 4205 OLD RD 37 APT 64
City LAKELAND
State FL
ZIP 33813
Accounting period End 7
Primary contact name PATRICIA STARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA STARR
P
4205 OLD RD 37 APT 64
LAKELAND FL 33813

Officer/Director/Trustee Two

BROOKE STARR
VP
4125 SUNDANCE PLACE LOOP
MULBERRY FL 33860

Officer/Director/Trustee Three

MARY ANNE BARNETT
D
7866 DELMONT LOOP
LAKELAND FL 33810

Officer/Director/Trustee Four

KEILA PIQUET
D
722 GRADY LANE
LAKELAND FL 33815

Officer/Director/Trustee Five

STANLEY PRITCHARD
D
6710 BORDEAUX BLVD
LAKELAND FL 33810

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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
Signature Title
Signature Date

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