FORM 1023-EZ for GOOD SAMARITANS MENS OUTREACH MINISTRY

Field Data
EIN 26-4819219
Case Number EO-2020309-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD SAMARITANS MENS OUTREACH MINISTRY
Organization’s Mailing Address 536 SOUTH 8TH AVENUE
City MOUNT VERNON
State NY
ZIP 10550
Accounting period End 12
Primary contact name ELBERT T CHESTER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REV BERNARD SHEPHERD
PRESIDENT
536 SOUTH 8TH AVE
MOUNT VERNON NY 10550

Officer/Director/Trustee Two

CARNEY BURNS JR
DIRECTOR
22 FRENCH RIDGE
NEW ROCHELLE NY 10801

Officer/Director/Trustee Three

CARL SAUNDERS
DIRECTOR
11 JONES LANE
HUNTINGTON NY 11743

Officer/Director/Trustee Four

ROBERT CLARKE
DIRECTOR
12 LAKEVIEW AVENUE
MIDDLETOWN NY 10550

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2009
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O03 - Professional Societies, Associations
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 REV BERNARD SHEPHERD
Signature Title PRESIDENT
Signature Date 10/31/2020

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