FORM 1023-EZ for GOSPEL LIVING OUTREACH

Field Data
EIN 83-1838618
Case Number EO-2018257-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOSPEL LIVING OUTREACH
Organization’s Mailing Address 10956 VIEW POND CT
City ALLENDALE
State MI
ZIP 49401
Accounting period End 12
Primary contact name RICHARD PITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD PITT
PRESIDENT, DIRECTOR
10956 VIEW POND CT
ALLENDALE MI 49401

Officer/Director/Trustee Two

BARB GRZEGOREZYK
DIRECTOR
6508 ELWOOD CT S
ALLENDALE MI 49401

Officer/Director/Trustee Three

JASON MCDONALD
TREASURER, DIRECTOR
10916 MARSH AVE
ALLENDALE MI 49401

Officer/Director/Trustee Four

JEANNE ENGELHARDT
SECRETARY, DIRECTOR
6635 ANNABELLE DR
ALLENDALE MI 49401

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State MI
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: Yes
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 Yes
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 RICHARD PITT
Signature Title PRESIDENT, DIRECTOR
Signature Date 9/12/18

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