FORM 1023-EZ for URBAN ROYALTY OUTREACH INC

Field Data
EIN 83-1299893
Case Number EO-2020076-000425
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name URBAN ROYALTY OUTREACH INC
Organization’s Mailing Address 4301 CONFEDERATE POINT ROAD 48
City JACKSONVILLE
State FL
ZIP 32210
Accounting period End 7
Primary contact name JANELLA BLEVINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANICE HANNAH
VICE PRESIDENT
1005 MANICK DRIVE
FORT WAYNE IN 46312

Officer/Director/Trustee Two

TAYZANA BLACKMON
SECRETARY
7828 PLAYPEN DRIVE
JACKSONVILLE FL 32210

Officer/Director/Trustee Three

JANELLA BLEVINS
PRESIDENT
4301 CONFEDERATE POINT ROAD 48
JACKSONVILLE FL 32210

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANELLA BLEVINS
Signature Title PRESIDENT
Signature Date 3/13/2020

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