FORM 1023-EZ for KLARISANA OUTREACH INC

Field Data
EIN 82-4771758
Case Number EO-2019177-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KLARISANA OUTREACH INC
Organization’s Mailing Address 1685 S COLORADO BLVD UNIT S-218
City DENVER
State CO
ZIP 80222
Accounting period End 12
Primary contact name CARL BONNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL BONNETT
VICE PRESIDENT
1685 S COLORADO BLVD UNIT S-218
DENVER CO 80222

Officer/Director/Trustee Two

GERSON BARAHONA
PRESIDENT
1685 S COLORADO BLVD UNIT S-218
DENVER CO 80222

Officer/Director/Trustee Three

ALYSSA SOTO
SECRETARY
1685 S COLORADO BLVD UNIT S-218
DENVER CO 80222

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 GERSON BARAHONA
Signature Title PRESIDENT
Signature Date 6/24/19

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