FORM 1023-EZ for ALPHA OMEGA CARE OUTREACH MINISTRIES INC

Field Data
EIN 47-1773779
Case Number EO-2014261-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALPHA OMEGA CARE OUTREACH MINISTRIES INC
Organization’s Mailing Address 1745 MONTAUK HIGHWAY
City BELLPORT
State NY
ZIP 11713
Accounting period End 12
Primary contact name REGINA BUCKNOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REGINA BUCKNOR
PRESIDENT
6 CARNEGIE DRIVE
FARMINGVILLE NY 11738

Officer/Director/Trustee Two

FERONA WEST
TREASURER
48 CASTLE LANE
HOLTSVILLE NY 11742

Officer/Director/Trustee Three

DEIDRA BOGUES
SECRETARY
923 MICHIGAN AVE
BELLPORT NY 11713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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