FORM 1023-EZ for OUTREACH INNOVATIONS INC

Field Data
EIN 84-2818782
Case Number EO-2020139-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUTREACH INNOVATIONS INC
Organization’s Mailing Address 99 EAST 86 AVENUE
City MERRILLVILLE
State IN
ZIP 46410
Accounting period End 12
Primary contact name THOMAS JESSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS JESSEN
EXECUTIVE DIRECTOR
5609 MURVIHILL RD
VALPARAISO IN 46383

Officer/Director/Trustee Two

SHEILA LACHIK
SECRETARY
534 TIMBERLAKE DR
LOWEL IN 46304

Officer/Director/Trustee Three

CHRISTINA FICKEL
TREASURER
701 OAKWOOD DR
CHESTERTON IN 46304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 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 THOMAS JESSEN
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/14/2020

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