FORM 1023-EZ for SOUTHSTAR OUTREACH NON PROFIT CORP

Field Data
EIN 83-2899518
Case Number EO-2019030-000075
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHSTAR OUTREACH NON PROFIT CORP
Organization’s Mailing Address 1616 SOUTH VOSS ROAD SUITE 885
City HOUSTON
State TX
ZIP 77057
Accounting period End 12
Primary contact name TIMOTHY R BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLYSON BROWN
DIRECTOR AND PRESIDENT
1616 SOUTH VOSS ROAD SUITE 885
HOUSTON TX 77057

Officer/Director/Trustee Two

CATHERINE RENAUDIN
DIRECTOR
1616 SOUTH VOSS ROAD SUITE 885
HOUSTON TX 77057

Officer/Director/Trustee Three

DAVID KAPAVIK
DIRECTOR
100 SOUTH MAIN STREET PO BOX A
MOULTON TX 77975

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALLYSON BROWN
Signature Title DIRECTOR AND PRESIDENT
Signature Date 12/20/18

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