FORM 1023-EZ for PURPOSE DRIVEN OUTREACH SERVICES

Field Data
EIN 45-4278123
Case Number EO-2016246-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURPOSE DRIVEN OUTREACH SERVICES
Organization’s Mailing Address 1213 COVENTRY STREET
City AKRON
State OH
ZIP 44306
Accounting period End 12
Primary contact name CYNTHIA MAHIRI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINA GLADMAN
CEO
747 CITY VIEW
AKRON OH 44307

Officer/Director/Trustee Two

LORI WALKER
SECRETARY
1350
AKRON OH 44301

Officer/Director/Trustee Three

LAWRENCE SMALL
TREASURER
1241 FREDERICK
AKRON OH 44320

Officer/Director/Trustee Four

TOYA KELKER
TRUSTEE
399 NOBLE
AKRON OH 44320

Officer/Director/Trustee Five

CYNTHIA MAHIRI
TRUSTEE
747 CITY VIEW
AKRON OH 44313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2012
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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