FORM 1023-EZ for PROVEN CERTIFIED INC

Field Data
EIN 85-2082322
Case Number EO-2020210-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVEN CERTIFIED INC
Organization’s Mailing Address 3205 S LIONS AVE
City BROKEN ARROW
State OK
ZIP 74012-7725
Accounting period End 12
Primary contact name CHRIS ATCHISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS ATCHISON
PRESIDENT
3205 S LIONS AVE
BROKEN ARROW OK 74012-7725

Officer/Director/Trustee Two

KANDACE HOLMES
TREASURER
6840 S TOLEDO UNIT 439
TULSA OK 74136-4728

Officer/Director/Trustee Three

KELLIE WALLS
EXECUTIVE DIRECTOR
3205 S LIONS AVE
BROKEN ARROW OK 74012-7725

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 CHRIS ATCHISON
Signature Title PRESIDENT
Signature Date 7/23/2020

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