FORM 1023-EZ for PHX OUTREACH FOR UNDERSERVED ADULTS CHILDREN HOMELESS DBA POUCH

Field Data
EIN 47-2397654
Case Number EO-2014332-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHX OUTREACH FOR UNDERSERVED ADULTS CHILDREN HOMELESS DBA POUCH
Organization’s Mailing Address 1605 W LATHAM STREET
City PHOENIX
State AZ
ZIP 85007
Accounting period End 12
Primary contact name PATRESHA PEARSON RN BSN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GREGORY PEARSON
V PRSIDENT DIRECTOR OFFICER
200 E KNOX RD SPACE 44
CHANDLER AZ 85225

Officer/Director/Trustee Two

GEORGE SPENCE
OFFICER
1605 W LATHAM STREET
PHOENIX AZ 85007

Officer/Director/Trustee Three

CHANCELYN WALKER MBA
V PRESIDENT, DIRECTOR, OFFICER
12915 CRISFIELD ROAD
SILVERSPRING MD 20906

Officer/Director/Trustee Four

PATRESHA PEARSON
FNDER/PRES, EXEC DIR, OFFIC TRUSTEE
200 E KNOX RD SPACE 44
CHANDLER AZ 85225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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