FORM 1023-EZ for PPI PROVIDENTIAL PROVISION INC SERVICES

Field Data
EIN 82-3423330
Case Number EO-2020051-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PPI PROVIDENTIAL PROVISION INC SERVICES
Organization’s Mailing Address 523 C R 4760
City WINNSBORO
State TX
ZIP 75494
Accounting period End 10
Primary contact name DEBORAH A GIGLIOTTI&RAY BLEVINS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH A GIGLIOTTI
CHAIR CEO
523 CR 4760
WINNSBORO TX 75494

Officer/Director/Trustee Two

PATRICK BROWN
CSO CHIEF STRATEGIC OFFICER
5000 EDINBURG DR APTMT 301
TYLER TX 75703

Officer/Director/Trustee Three

MELINDA RYAN
RET ARMY CHAPLAIN SEC
PO BOX 201
CEDAR HILL TX 75106

Officer/Director/Trustee Four

DEBRA MCATEE
CHARITABLE GIVING DEPT
4300 KINSEY DR
TYLER TX 75703

Officer/Director/Trustee Five

GENEVIEVE SMITH
REG AGENT VICE CHAIR
523 CR 4760
WINNSBORO TX 75494

Organization’s website NA
Organization’s email DEBORAHG.PPI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition 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 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 Yes
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 DEBORAH A GIGLIOTTI
Signature Title CHAIR CEO
Signature Date 2/18/2020

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