FORM 1023-EZ for VISION COMMUNITY OUTREACH INC

Field Data
EIN 47-2121137
Case Number EO-2014328-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VISION COMMUNITY OUTREACH INC
Organization’s Mailing Address 123 N INDUSTRIAL DR SUITE B
City ORANGE CITY
State FL
ZIP 32763
Accounting period End 12
Primary contact name WILLIAM CHASE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM CHASE
PRESIDENT
123 N INDUSTRIAL DR SUITE B
ORANGE CITY FL 32763

Officer/Director/Trustee Two

VICKI CHASE
VICE PRESIDENT
123 N INDUSTRIAL DR SUITE B
ORANGE CITY FL 32763

Officer/Director/Trustee Three

TERYLL SOMERVILLE
TREASURER
123 N INDUSTRIAL DR SUITE B
ORANGE CITY FL 32763

Officer/Director/Trustee Four

ANNIE KIMMEL
DIRECTOR
123 N INDUSTRIAL DR SUITE B
ORANGE CITY FL 32763

Officer/Director/Trustee Five

PAUL BURDICK
DIRECTOR
123 N INDUSTRIAL DR SUITE B
ORANGE CITY FL 32763

Organization’s website
Organization’s email CHASERESTORE12@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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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