FORM 1023-EZ for OUTSIDERS ANONYMOUS
| Field | Data |
|---|---|
| EIN | 83-2915512 |
| Case Number | EO-2019031-000212 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OUTSIDERS ANONYMOUS |
| Organization’s Mailing Address | 1404 E 5TH STREET |
| City | AUSTIN |
| State | TX |
| ZIP | 78702-3815 |
| Accounting period End | 12 |
| Primary contact name | ADAM HOLT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ADAM HOLT
PRESIDENT/CEO
1404 E 5TH STREET
AUSTIN TX 78702-3815
Officer/Director/Trustee Two
JAMI MENDOZA
DIRECTOR, CHAIR OF THE BOARD
1404 E 5TH STREET
AUSTIN TX 78702-3815
Officer/Director/Trustee Three
NICHOLAS KOSIK
DIRECTOR, SECRETARY
1404 E 5TH STREET
AUSTIN TX 78702-3815
Officer/Director/Trustee Four
JESSICA MYERS
DIRECTOR, TREASURER
1404 E 5TH STREET
AUSTIN TX 78702-3815
| Organization’s website | OUTSIDERSANONYMOUS.COM |
|---|---|
| Organization’s email | ADAM@OUTSIDERSANONYMOUS.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/20/18 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | ADAM HOLT |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 1/2/19 |
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