FORM 1023-EZ for AUDREYS OUTREACH

Field Data
EIN 47-3582921
Case Number EO-2015096-000112
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUDREYS OUTREACH
Organization’s Mailing Address 16845 HOLLAND RD
City BROOK PARK
State OH
ZIP 44142
Accounting period End 12
Primary contact name AMY DEMLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALICE RAMSER
DIRECTOR
6306 JAMESTOWNE DRIVE
PARMA HEIGHTS OH 44130

Officer/Director/Trustee Two

JANICE SKINNER
DIRECTOR
15720 AGNES BLVD
BROOK PARK OH 44142

Officer/Director/Trustee Three

MARY ELLEN LARKIN
DIRECTOR
7203 W BALDWIN RESERVE DRIVE
MIDDLEBURG HEIGHTS OH 44130

Officer/Director/Trustee Four

MARY ROHRL
DIRECTOR
3859 RIVEREDGE RD APT 18
CLEVELAND OH 44111

Officer/Director/Trustee Five

MARGI JAY
DIRECTOR
5321 STONECREST DRIVE
BROOK PARK OH 44142

Organization’s website HTTP://WWW.AUDREYSOUTREACH.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2015
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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
Signature Title
Signature Date

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