FORM 1023-EZ for ESPARZA HOMELESS OUTREACH SERVICES

Field Data
EIN 84-2065637
Case Number EO-2021049-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESPARZA HOMELESS OUTREACH SERVICES
Organization’s Mailing Address 1867 THORNHILL DRIVE
City AKRON
State OH
ZIP 44313
Accounting period End 12
Primary contact name KEITH ESPARZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH ESPARZA
PRESIDENT
1867 THORNHILL DRIVE
AKRON OH 44313

Officer/Director/Trustee Two

LYSA CRAWFORD
VICE PRESIDENT
1433 RALEIGH BLVD
COPLEY OH 44313

Officer/Director/Trustee Three

QUENTON TAKACS
SECRETARY
1609 GRAYLING
FAIRLAWN OH 44333

Officer/Director/Trustee Four

JEAN COOPER
TREASURER
1494 WIMBLEDON CIRCLE
STOW OH 44224

Officer/Director/Trustee Five

CINDY BISHAW
ETHICAL ADVISOR
4511 LOGAN AVE NE
CANTON OH 44709

Organization’s website
Organization’s email EH.OUTREACHSERVES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2019
Organization Incorporation State OH
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: 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 No
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 KEITH ESPARZA
Signature Title PRESIDENT
Signature Date 12/10/2020

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