FORM 1023-EZ for HEAL OUTREACH INC
| Field | Data |
|---|---|
| EIN | 87-1065859 |
| Case Number | EO-2021204-000156 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HEAL OUTREACH INC |
| Organization’s Mailing Address | 601 ROSERY ROAD NE APT 1504 |
| City | LARGO |
| State | FL |
| ZIP | 33770 |
| Accounting period End | 12 |
| Primary contact name | DANIEL CHAREUNSAB |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DANIEL CHAREUNSAB
DIRECTOR
601 ROSERY ROAD NE APT 1504
LARGO FL 33770
Officer/Director/Trustee Two
TIFFANY CHAREUNSAB
DIRECTOR
601 ROSERY RD NE APT 1504
LARGO FL 33770
Officer/Director/Trustee Three
DUSTIN SEIDL
DIRECTOR
6691 121ST AVENUE UNIT E
LARGO FL 33773
Officer/Director/Trustee Four
MICHAEL NOLAN
DIRECTOR
3651 PRAIRIE WATERS DR APT 8201
GRAND PRAIRIE TX 75052
| Organization’s website | HEALOUTREACH.ORG |
|---|---|
| Organization’s email | INFO@HEALOUTREACH.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/1/2021 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I40 - Rehabilitation Services for Offenders |
| 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 | 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 | DANIEL CHAREUNSAB |
| Signature Title | DIRECTOR |
| Signature Date | 7/21/2021 |
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