FORM 1023-EZ for PASTORIAL RELIGIOUS OUTREACH ORGANIZATIONAL FOUNDATION

Field Data
EIN 36-4466280
Case Number EO-2019084-000488
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PASTORIAL RELIGIOUS OUTREACH ORGANIZATIONAL FOUNDATION
Organization’s Mailing Address 954 SOUTH WASHINGTON STREET
City MARKSVILLLE
State LA
ZIP 71351
Accounting period End 12
Primary contact name CARLISA SIMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNON SIMON
CEO
954 SOUTH WASHINGTON STREET
MARKSVILLE LA 71350

Officer/Director/Trustee Two

CARLISA SIMON
PRESIDENT
3006 VILLEMARETTE STREET
MANSURA LA 71350

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/05
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 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 Yes
Correctness Declaration Yes
Signature Name VERNON SIMON
Signature Title CEO
Signature Date 3/22/19

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