FORM 1023-EZ for FORT WORTH OUTREACH PARTNERS

Field Data
EIN 81-3620607
Case Number EO-2016258-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT WORTH OUTREACH PARTNERS
Organization’s Mailing Address 2743 STUART DRIVE
City FORT WORTH
State TX
ZIP 76104
Accounting period End 12
Primary contact name JOEL LENAMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOEL LENAMON
EXECUTIVE DIRECTOR
2743 STUART DRIVE
FORT WORTH TX 76104

Officer/Director/Trustee Two

MIKE RUSS
DIRECTOR
2743 STUART DRIVE
FORT WORTH TX 76104

Officer/Director/Trustee Three

SHARON ROUBINEK
DIRECTOR
2743 STUART DRIVE
FORT WORTH TX 76104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
Donation of funds Yes
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 Yes
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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