FORM 1023-EZ for THE OUTLET COLLECTIVE INC

Field Data
EIN 85-1802369
Case Number EO-2021141-000451
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE OUTLET COLLECTIVE INC
Organization’s Mailing Address 5716 ARLENE STREET
City METAIRIE
State LA
ZIP 70003
Accounting period End 12
Primary contact name DAJUAN ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAJUAN ADAMS
PRESIDENT
5716 ARLENE STREET
METAIRIE LA 70003

Officer/Director/Trustee Two

TASIA POLK
VICE PRESIDENT
3100 RUE PARK FONTAINE APT 2011
NEW ORLEANS LA 70131

Officer/Director/Trustee Three

DERICK ADAMS
CHIEF EXECUTIVE OFFICER
13141 BISHOP CL MORTON SR DR
NEW ORLEANS LA 70128

Officer/Director/Trustee Four

DENEISHA ADAMS HARRY
TREASURER
5716 ARLENE STREET
METAIRIE LA 70003

Officer/Director/Trustee Five

PATRICIA BROWN
SECRETARY
111 EVELYN AVE
HOUMA LA 70363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2020
Organization Incorporation State LA
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: 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 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 DAJUAN ADAMS
Signature Title PRESIDENT
Signature Date 5/18/2021

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