FORM 1023-EZ for PRAY FOR THE HOMELESS OUTREACH INC

Field Data
EIN 84-2660653
Case Number EO-2019238-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRAY FOR THE HOMELESS OUTREACH INC
Organization’s Mailing Address 411 SAN LANTA CIR
City SANFORD
State FL
ZIP 32771
Accounting period End 12
Primary contact name SHERITA RUSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERITA RUSS
PRESIDENT/DIRECTOR
411 SAN LANTA CIR
SANFORD FL 32771

Officer/Director/Trustee Two

RANDY ROGERS
TREASURER/DIRECTOR
411 SAN LANTA CIR
SANFORD FL 32771

Officer/Director/Trustee Three

NAZAR BARNES
SECRETARY/DIRECTOR
411 SAN LANTA CIR
SANFORD FL 32771

Organization’s website
Organization’s email CHANGEMYLIFE34@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 SHERITA RUSS
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/23/19

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