FORM 1023-EZ for NEMEHIAHS VISION OUTREACH

Field Data
EIN 47-4104588
Case Number EO-2015307-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEMEHIAHS VISION OUTREACH
Organization’s Mailing Address 94 HONOR GREER ROAD
City RAYVILLE
State LA
ZIP 71269
Accounting period End 12
Primary contact name KEWANDA BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEWANDA BELL
PRESIDENT
111 ALABAMA STREET
RAYVILLE LA 71269

Officer/Director/Trustee Two

RICHARD QUINTANA
VICE PRESIDENT - CHAPLIN
700 SPRUCE STREET
RAYVILLE LA 71269

Officer/Director/Trustee Three

DELANZA WHITE
TREASURY
316 RUSSEL ST APT 51
RAYVILLE LA 71269

Officer/Director/Trustee Four

CARMELITA SPIKES
SECRETARY
3301 OLD STERLINGTON RD APT 48
MONROE LA 71203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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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