FORM 1023-EZ for POSITIVE IMPACT OUTREACH INC

Field Data
EIN 90-0907442
Case Number EO-2020260-000352
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POSITIVE IMPACT OUTREACH INC
Organization’s Mailing Address P O BOX 2309
City CHESAPEAK
State VA
ZIP 23327
Accounting period End 12
Primary contact name BREN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENNETTA WILLIAMS
PRESIDENT
654 HIDDEN FALLS LANE
CHESAPEAKE VA 23320

Officer/Director/Trustee Two

MORGAN WILLIAMS
VICE PRESIDENT
654 HIDDEN FALLS LANE
CHESAPEAKE VA 23320

Officer/Director/Trustee Three

ADRIAN AVERY
TREASURER
1208 DOMINION LAKES BLVD
CHESAPAKE VA 23320

Officer/Director/Trustee Four

ANDREA HANSON
SECRETARY
472 N BATTLEFIELD BLV
CHESAPEAKE VA 23320

Organization’s website WWW.POSITIVEIMPACTOUTREACH.ORG
Organization’s email POSITIVEIMPACTOUTREACH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2013
Organization Incorporation State VA
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRENNETTA WILLIAMS
Signature Title PRESIDENT
Signature Date 9/14/2020

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