FORM 1023-EZ for FIRST IMAGE OUTREACH INC

Field Data
EIN 86-3823330
Case Number EO-2021141-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST IMAGE OUTREACH INC
Organization’s Mailing Address 5400 LAWRENCEVILLE HWY SUITE E2
City LILBURN
State GA
ZIP 30047
Accounting period End 12
Primary contact name KAALA HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAALA HAYES
PRESIDENT
SUITE E2
LILBURN GA 30047

Officer/Director/Trustee Two

SANDRA SIMPSON
SECRETARY
64 N CARY STREET NO Q74
LAGRANGE GA 30241

Officer/Director/Trustee Three

DOROTHY ANN THOMPSON
TREASURER
638 CAROL ANN DRIVE
O FALLON IL 62269

Organization’s website
Organization’s email FIRSTIMAGEHC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 KAALA HAYES
Signature Title PRESIDENT
Signature Date 5/16/2021

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