FORM 1023-EZ for COMMUNITY OUTREACH MINISTRIES INC

Field Data
EIN 82-4873660
Case Number EO-2018165-000620
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY OUTREACH MINISTRIES INC
Organization’s Mailing Address 415 EAST MAIN STREET
City BOONVILLE
State IN
ZIP 47601
Accounting period End 12
Primary contact name DARLA GOURLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PENNI BECKMAN
PRESODENT/DIRECTOR
PO BOX 196
TENNYSON IN 47637

Officer/Director/Trustee Two

KENNETH BECKMAN
VICE PRESIDENT/DIRECTOR
8596 PIGEON SWITCH ROAD
TENNYSON IN 47637

Officer/Director/Trustee Three

SINDY HARRIS
SECRETARY/DIRECTOR
6877 BROOKS ROAD
GENTRYVILLE IN 47537

Officer/Director/Trustee Four

DARLA GOURLEY
TREASURER/DIRECTOR
2377 KAISER ROAD
BOONVILLE IN 47601

Officer/Director/Trustee Five

DONALD W PHILLIPS
DIRECTOR
7452 LINCOLN TRAIL ROAD
GENTRYVILLE IN 47537

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- 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 DARLA GOURLEY
Signature Title TREASURER/DIRECTOR
Signature Date 6/12/18

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