FORM 1023-EZ for PROVIDENCE COMMUNITY CENTER INC

Field Data
EIN 85-4320170
Case Number EO-2021235-000496
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVIDENCE COMMUNITY CENTER INC
Organization’s Mailing Address PO BOX 203
City MONTALBA
State TX
ZIP 75853
Accounting period End 12
Primary contact name ANTHONY BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY BROWN
PRESIDENT & DIRECTOR
1745 ANDERSON COUNTY RD 2405
MONTALBA TX 75853

Officer/Director/Trustee Two

BETTY PUNCH
TREAS & SECRETARY & DIR
664 AN COUNTY RD 2408
MONTALBA TX 75853

Officer/Director/Trustee Three

ESTER JONES
DIRECTOR
PO BOX 5
MONTALBA TX 75853

Organization’s website
Organization’s email OLIVIAJBROWN14@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/13/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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 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 ANTHONY BROWN
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/20/2021

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