FORM 1023-EZ for MERCY OUTREACH CENTER

Field Data
EIN 82-2564290
Case Number EO-2020029-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERCY OUTREACH CENTER
Organization’s Mailing Address 4916 HIGH STREET
City FORT SMITH
State AR
ZIP 72904
Accounting period End 5
Primary contact name BOBBIE WOODARD-ANDREWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBBIE WOODARD-ANDREWS
DIRECTOR
823 NORTH 41ST STREET
FORT SMITH, AR

Officer/Director/Trustee Two

VIRGINIA HINKLE
PRESIDENT
4408 BROCKMAN AVE
FORT SMITH AR 72904

Officer/Director/Trustee Three

CURTISSTINE FORTE
SECRETARY
1910 WACO
FORT SMITH AR 72904

Officer/Director/Trustee Four

ANN GLOVER
TREASURER
3419 NORTH 52ND STREET
FORT SMITH AR 72904

Officer/Director/Trustee Five

REBEKAH WALTON
DIRECTOR EMIRITUS
3412 NORTH Q STREET
FORT SMITH AR 72904

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1995
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BOBBIE WOODARD-ANDREWS
Signature Title DIRECTOR
Signature Date 1/27/2020

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