FORM 1023-EZ for EXCHANGE OPTIONS OUTREACH

Field Data
EIN 46-4079711
Case Number EO-2017082-000425
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EXCHANGE OPTIONS OUTREACH
Organization’s Mailing Address 5206 CALDERA CT
City HOUSTON
State TX
ZIP 77066
Accounting period End 12
Primary contact name UNA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

UNA LEWIS
PRESIDENT
5206 CALDERA CT
HOUSTON TX 77066

Officer/Director/Trustee Two

UNIKA COLE
VICE PRESIDENT
1011 S FRIO STREET APT 3202
SAN ANTONIO TX 78207

Officer/Director/Trustee Three

ERNESTINE LEWIS
SECRETARY
357 CR 417
LAKE PANASOFFKEE TX 33538

Officer/Director/Trustee Four

MARQUERITE BLITCH
TREASURER
5206 CALDERA CT
HOUSTON TX 77066

Officer/Director/Trustee Five

ALMERNETT SEALS
DIRECTOR
5206 CALDERA CT
HOUSTON TX 77066

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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