FORM 1023-EZ for PEAK OUTREACH

Field Data
EIN 81-3104672
Case Number EO-2017081-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEAK OUTREACH
Organization’s Mailing Address 3060 PHARR CT
City ATLANTA
State GA
ZIP 30318
Accounting period End 12
Primary contact name CHANDRA PLATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANDRA PLATZ
CHAIR/TREASURER
1954 EAST AVE
ATLANTA GA 30318

Officer/Director/Trustee Two

STEPHEN PLATZ
VICE-CHAIR
1954 EAST AVE
ATLANTA GA 30318

Officer/Director/Trustee Three

SYLVIA BETTS
SECRETARY
8801 STEPHENSON RD
APEX NC 27539

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2016
Organization Incorporation State GA
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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