FORM 1023-EZ for EVOLVE R&R

Field Data
EIN 84-2905775
Case Number EO-2019259-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EVOLVE R&R
Organization’s Mailing Address 1760 JAVELINA ST
City CHAPARRAL
State NM
ZIP 88081
Accounting period End 12
Primary contact name LELA OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LELA OBRIEN
PRESIDENT, DIRECTOR
1760 JAVELINA ST
CHAPARRAL NM 88081

Officer/Director/Trustee Two

LISA BLACKMAN
SECRETARY, DIRECTOR
6009 FLAT SLATE DR
KILLEEN TX 76542

Officer/Director/Trustee Three

JESSICA MAUPIN
TREASURER, DIRECTOR
PO BOX 531
GORMAN TX 76454

Officer/Director/Trustee Four

STEFANIE DOYLE
DIRECTOR
14270 HORSESHOE DR
WHITE OAK PA 15131

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/19
Organization Incorporation State NM
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: 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LELA OBRIEN
Signature Title PRESIDENT, DIRECTOR
Signature Date 9/10/19

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