FORM 1023-EZ for BLACK SHEEP OUTREACH CORPORATION

Field Data
EIN 87-1568112
Case Number EO-2021193-000778
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK SHEEP OUTREACH CORPORATION
Organization’s Mailing Address 475 E MAIN STREET
City BARTOW
State FL
ZIP 33830
Accounting period End 12
Primary contact name SHAMONE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMONE MOORE
PRESIDENT
475 E MAIN STREET
BARTOW FL 33830

Officer/Director/Trustee Two

CHARLES REED
VICE PRESIDENT
475 E MAIN STREET
BARTOW FL 33830

Officer/Director/Trustee Three

ASHUNTI MANNING
SECRETARY
475 E MAIN STREET
BARTOW FL 33830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2020
Organization Incorporation State FL
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: 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 SHAMONE MOORE
Signature Title PRESIDENT
Signature Date 7/8/2021

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