FORM 1023-EZ for THE KOINONIA OUTREACH INC

Field Data
EIN 84-3512784
Case Number EO-2019312-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE KOINONIA OUTREACH INC
Organization’s Mailing Address 406 POLARIS STREET
City SAN ANTONIO
State TX
ZIP 78203
Accounting period End 12
Primary contact name PAMELA E RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA RAY
CHAIR
406 POLARIS STREET
SAN ANTONIO TX 78203

Officer/Director/Trustee Two

CASSANDRA PORTER
VICE CHAIR
406 POLARIS
SAN ANTONIO TX 78203

Officer/Director/Trustee Three

MATTHEW EDISON
BOARD MEMBER
406 POLARIS STREET
SAN ANTONIO TX 78203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/19
Organization Incorporation State TX
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: Yes
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 PAMELA RAY
Signature Title CHAIR
Signature Date 11/6/19

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