FORM 1023-EZ for MJR OUTREACH SERVICES INC

Field Data
EIN 85-4280963
Case Number EO-2021063-000507
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MJR OUTREACH SERVICES INC
Organization’s Mailing Address 3612 NYEWOOD CT
City CHARLOTTE
State NC
ZIP 28269
Accounting period End 12
Primary contact name DAVID FARMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID FARMER
PRESIDENT
6912 LORETTA PLACE
CHARLOTTE NC 28215

Officer/Director/Trustee Two

IVANEY SIMMONS
TREASURER
6912 LORETTA PLACE
CHARLOTTE NC 28215

Officer/Director/Trustee Three

DOMINIQUE MARTIN
SECRETARY
3612 NYEWOOD CT
CHARLOTTE NC 28269

Officer/Director/Trustee Four

DIANE FARMER
CEO/DIRECTOR
3612 NYEWOOD CT
CHARLOTTE NC 28269

Organization’s website
Organization’s email DIANEDFARMER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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 DAVID FARMER
Signature Title PRESIDENT
Signature Date 12/31/2020

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