FORM 1023-EZ for HOLBROOK COMMUNITY OUTREACH INC

Field Data
EIN 82-5252327
Case Number EO-2018239-000889
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLBROOK COMMUNITY OUTREACH INC
Organization’s Mailing Address 6238 CYPRESS DR
City MT MORRIS
State MI
ZIP 48458
Accounting period End 12
Primary contact name DEVION HOLBROOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVION HOLBROOK
PRESIDENT
6238 CYPRESS DR
MT.MORRIS MI 48458

Officer/Director/Trustee Two

BERNARD HOLMES
SECRETARY
313 W PHILADELPHIA BLVD
FLINT MI 48505

Officer/Director/Trustee Three

JAQUEZ COLLINS
TREASURER
321 W BALTIMORE BLVD
FLINT MI 48505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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 DEVION HOLBROOK
Signature Title PRESIDENT
Signature Date 8/25/18

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