FORM 1023-EZ for MIZELL OUTREACH INC

Field Data
EIN 81-4191140
Case Number EO-2016305-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIZELL OUTREACH INC
Organization’s Mailing Address 195 N MAIN ST
City PEARSON
State GA
ZIP 31642
Accounting period End 12
Primary contact name BELVA MIZELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BELVA MIZELL
PRESIDENT, DIRECTOR
30 JEREMY LN
PEARSON GA 31642

Officer/Director/Trustee Two

KATE EVE WADE
SECRETARY, DIRECTOR
PO BOX 1156
PEARSON GA 31642

Officer/Director/Trustee Three

TERRI JOYNER
TREASURER, DIRECTOR
652 HILLCREST RD
DOUGLAS GA 31533

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2016
Organization Incorporation State GA
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 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
Signature Title
Signature Date

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