FORM 1023-EZ for 5 LOAVES OUTREACH INC

Field Data
EIN 86-1888293
Case Number EO-2021097-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 5 LOAVES OUTREACH INC
Organization’s Mailing Address 115 SAMUEL KEMPER
City SAN ANTONIO
State LA
ZIP 78220
Accounting period End 12
Primary contact name LATRICE TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATRICE TURNER
PRESIDENT/DIRECTOR
115 SAMUEL KEMPER
SAN ANTONIO LA 78220

Officer/Director/Trustee Two

SHEMEKIA TURNER
VICE PRESIDENT
115 SAMUEL KEMPER
SAN ANTONIO TX 78220

Officer/Director/Trustee Three

CAMILLA MADDEN
SECRETARY
115 SAMUEL KEMPER
SAN ANTONIO LA 78220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 LATRICE TURNER
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/11/2021

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