FORM 1023-EZ for 180 YOUTH OUTREACH INC

Field Data
EIN 82-4921633
Case Number EO-2018136-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 180 YOUTH OUTREACH INC
Organization’s Mailing Address 639 KEENE CIRCLE
City DANDRIDGE
State TN
ZIP 37725
Accounting period End 12
Primary contact name BRYON OWNBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD GEMBOYS
PRESIDENT
639 KEENE CIRCLE
DANDRIDGE TN 37725

Officer/Director/Trustee Two

DARRELL MOODY
TREASURER
533 BETTY LOU DRIVE
NEW MARKET TN 37820

Officer/Director/Trustee Three

BRYON OWNBY
SECRETARY
3456 BRIDGES CHAPEL ROAD
DANDRIDGE TN 37725

Organization’s website WWW.180YOUTHOUTREACH.ORG
Organization’s email CONTACTUS@180YOUTHOUTREACH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/18
Organization Incorporation State TN
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 BRYON OWNBY
Signature Title SECRETARY
Signature Date 5/11/18

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