FORM 1023-EZ for COMMUNITY OUTREACH AND REVITALIZATION ORGANIZATION

Field Data
EIN 47-4136998
Case Number EO-2015159-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY OUTREACH AND REVITALIZATION ORGANIZATION
Organization’s Mailing Address 1523 RUGBY BLVD NW
City ROANOKE
State VA
ZIP 24017
Accounting period End 12
Primary contact name SHARRIEFF JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARRIEFF JONES
EXECUTIVE DIRECTOR
1523 RUGBY BLVD
ROANOKE VA 24017

Officer/Director/Trustee Two

SHATONA ELDER
VP
2051 FLAT SHOALS ROAD
ATLANTA GA 30316

Officer/Director/Trustee Three

PAMELA SMITH
SECRETARY
2308 HIGHLAND FARM ROAD
ROANOKE VA 24017

Officer/Director/Trustee Four

ALFREDA JENNINGS
TREASURER
2824 BLUESTONE AVENUE
ROANOKE VA 24012

Officer/Director/Trustee Five

JOHNATON CARRINGTON
DIRECTOR
916 14TH STREET NW
ROANOKE VA 24017

Organization’s website
Organization’s email SHARRIEFFJONES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 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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