FORM 1023-EZ for TILLMAN OUTREACH AND COMMUNITY CENTER INC

Field Data
EIN 82-4735683
Case Number EO-2018106-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TILLMAN OUTREACH AND COMMUNITY CENTER INC
Organization’s Mailing Address 10990 SW 223 ST
City MIAMI
State FL
ZIP 33170-6557
Accounting period End 12
Primary contact name EUNICE GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAKIRA TILLMAN
PRESIDENT
10990 SW 223 ST
MIAMI FL 33170-6557

Officer/Director/Trustee Two

JAYLA PATES
VICE PRESIDENT
10993 SW 223 ST
MIAMI FL 33170-6557

Officer/Director/Trustee Three

CAROLYN MOORE
SECRETARY
10990 SW 223 ST
MIAMI FL 33170-6557

Officer/Director/Trustee Four

JAYNAYSIA PATES
VICE PRESIDENT
10990 SW 223 ST
MIAMI FL 33170-6557

Officer/Director/Trustee Five

CARLESHA DURHAM
TREASURER
10990 SW 223 ST
MIAMI FL 33170-6557

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 SHAKIRA TILLMAN
Signature Title PRESIDENT
Signature Date 4/6/18

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