FORM 1023-EZ for LOVE IS MINISTRY OUTREACH INC

Field Data
EIN 85-2125380
Case Number EO-2020233-000449
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVE IS MINISTRY OUTREACH INC
Organization’s Mailing Address W175N11117 STONE WOOD DR UNIT 211
City GERMANTOWN
State WI
ZIP 53022
Accounting period End 12
Primary contact name SHAMIKA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMIKA ANDERSON
CEO AND PRESIDENT
W175N11117 STONE WOOD DR UNIT 211
GERMANTOWN WI 53022

Officer/Director/Trustee Two

NIKKI RUSSELL
SECRETARY AND TREASURER
W175N11117 STONE WOOD DR UNIT 211
GERMANTOWN WI 53022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, 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 Yes
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 SHAMIKA ANDERSON
Signature Title CEO AND PRESIDENT
Signature Date 8/18/2020

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