FORM 1023-EZ for PROVERBIAL PEACE REVIVED

Field Data
EIN 51-0516240
Case Number EO-2016126-000246
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROVERBIAL PEACE REVIVED
Organization’s Mailing Address 708 LANDING POINTE
City STOCKBRIDGE
State GA
ZIP 30281
Accounting period End 12
Primary contact name BRENETIA ADAMS-ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TWANDA BLACK
CHIEF MARKETING OFFICER
5480 ROCKTON WOOD WAY SW
ATLANTA GA 30331

Officer/Director/Trustee Two

DELISIA DUNMORE
CHIEF ADMINISTRATIVE OFFICER
1111 WAY COURT
ATLANTA GA 30310

Officer/Director/Trustee Three

TANGELA WILLIAMS
CHIEF RESOURCE OFFICER
438 KITE LAKE ROAD
FAYETTEVILLE GA 30214

Officer/Director/Trustee Four

BRENETIA ADAMS-ROBINSON
CHIEF EXECUTIVE OFFICER
708 LANDING POINTE
STOCKBRIDGE GA 30281

Organization’s website WWW.PROVERBIALPEACE.ORG
Organization’s email PROVERBS_PEACE@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2004
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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