FORM 1023-EZ for CROSSTOWNE OUTREACH INC

Field Data
EIN 47-2195274
Case Number EO-2015324-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSSTOWNE OUTREACH INC
Organization’s Mailing Address 1700 S ASPEN AVE
City BROKEN ARROW
State OK
ZIP 74012
Accounting period End 12
Primary contact name KIRK SCHAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JARRED SWEAT
DIRECTOR
16282 S 280TH E AVE
COWETA OK 74429

Officer/Director/Trustee Two

ROBERT MEYER
DIRECTOR
3178 E 22ND ST
TULSA OK 74114

Officer/Director/Trustee Three

KIMBERLY SWEAT
DIRECTOR
16282 S 280TH E AVE
COWETA OK 74429

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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
Signature Title
Signature Date

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