FORM 1023-EZ for 4 CORNERS CITY OUTREACH INC

Field Data
EIN 47-1851020
Case Number EO-2014314-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 4 CORNERS CITY OUTREACH INC
Organization’s Mailing Address 7566 NORTH GANNETT ROAD
City SAGAMORE HILLS
State OH
ZIP 44067
Accounting period End 12
Primary contact name JOHN ZACCARDELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN ZACCARDELLI
PRESIDENT
7566 N GANNETT
SAGAMORE HILLS OH 44067

Officer/Director/Trustee Two

GARY NAWROCKI
VICE PRESIDENT
1430 ROMANE
SAGAMORE HILLS OH 44067

Officer/Director/Trustee Three

DORIE ZACCARDELLI
TREASURER
7566 N GANNETT
SAGAMORE HILLS OH 44067

Officer/Director/Trustee Four

TAMMY KNOLES
SECRETARY
2011 VANCOUVER
CUYAHOGA FALLS OH 44221

Officer/Director/Trustee Five

CRYSTAL MATTSON
DIRECTOR
7566 N GANNETT
SAGAMORE HILLS OH 44067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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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