FORM 1023-EZ for FBC MISSIONARY OUTREACH MINISTRY

Field Data
EIN 81-1614716
Case Number EO-2016060-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FBC MISSIONARY OUTREACH MINISTRY
Organization’s Mailing Address 116 HANOVER AVE
City DAYTON
State OH
ZIP 45417-8730
Accounting period End 6
Primary contact name BELINDA CASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BELINDA CASH
BOARD CHAIR
4936 SHADWELL DR
DAYTON OH 45416-1133

Officer/Director/Trustee Two

MARCIA CONNORS
SECRETARY
1713 WESLEYAN RD
DAYTON OH 45406-3944

Officer/Director/Trustee Three

WILLIAM SKIPPER
TREASURER
3620 STORMONT RD
DAYTON OH 45426-2358

Officer/Director/Trustee Four

TINA FOSTER
BOARD MEMBER
3433 GLEN HELEN RD
DAYTON OH 45406-1123

Officer/Director/Trustee Five

SHIRLEY JOHNSON
EXECUTIVE DIRECTOR
5620 ELGIN ROOF RD
DAYTON OH 45426-1816

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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