FORM 1023-EZ for CROSS COUNTRY OUTREACH

Field Data
EIN 46-1776646
Case Number EO-2016335-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSS COUNTRY OUTREACH
Organization’s Mailing Address 5425 E BROADWAY STE 214
City TUCSON
State AZ
ZIP 85711-3704
Accounting period End 12
Primary contact name JERE PEDRAZZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLAN COBERT
OFFICER
5425 E BROADWAY STE 214
TUCSON AZ 85711-3704

Officer/Director/Trustee Two

JERE PEDRAZZA
PRESIDENT
5425 E BROADWAY STE 214
TUCSON AZ 85711-3704

Officer/Director/Trustee Three

NATALIE MCGEE
SECRETARY
5425 E BROADWAY STE 214
TUCSON AZ 85711-3704

Officer/Director/Trustee Four

VICKIE WILLIAMS
OFFICER
5425 E BROADWAY STE 214
TUCSON AZ 85711-3704

Organization’s website
Organization’s email LIBBYLOVESKIDS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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