FORM 1023-EZ for EARTHBOUND ANGELS INC

Field Data
EIN 47-3221031
Case Number EO-2015063-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EARTHBOUND ANGELS INC
Organization’s Mailing Address 8917 HOUSTON ST
City FORT SMITH
State AR
ZIP 72903
Accounting period End 12
Primary contact name SHELLY POLLOCK SEXTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHELLY POLLOCK SEXTON
PRESIDENT
8917 HOUSTON STREET
FORT SMITH AR 72903

Officer/Director/Trustee Two

DHARINIBEN PATEL
VICE PRESIDENT
312 DUGAN MILL DRIVE
FORT SMITH AR 72908

Officer/Director/Trustee Three

PATRICIA MOLTHAN
SECRETARY
475739 E 1050 ROAD
MULDROW OK 74948

Officer/Director/Trustee Four

ALIESHA WELLS
TREASURER
3202 S 62ND STREET 22
FORT SMITH AR 72903

Officer/Director/Trustee Five

TRACY SEXTON
DIRECTOR
8917 HOUSTON STREET
FORT SMITH AR 72903

Organization’s website WWW.EARTHBOUNDANGELSINC.ORG
Organization’s email EARTHBOUND_ANGELS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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
Signature Title
Signature Date

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