FORM 1023-EZ for NEGATIVELBS

Field Data
EIN 83-1178232
Case Number EO-2018299-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEGATIVELBS
Organization’s Mailing Address 7118 HAVEN CREEK DR
City CYPRESS
State TX
ZIP 77433
Accounting period End 12
Primary contact name DERRICK ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK ROBINSON
PRESIDENT
7118 HAVEN CREEK DR
CYPRESS TX 77433

Officer/Director/Trustee Two

MICHAEL W LOUIS
VICE PRESIDENT
19802 MILLSTONE RIDGE LANE
KATY TX 77449

Officer/Director/Trustee Three

KIRUU TELL-ROBINSON
DIRECTOR
7118 HAVEN CREEK DR
CYPRESS TX 77433

Officer/Director/Trustee Four

DEMIA LOUIS
DIRECTOR
19802 MILLSTONE RIDGE LANE
KATY TX 77449

Officer/Director/Trustee Five

TAMIKA DAVIS
DIRECTOR
17619 COVENTRY PARK DR
HOUSTON TX 77084

Organization’s website WWW.NEGATIVELBS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 DERRICK ROBINSON
Signature Title PRESIDENT
Signature Date 10/24/18

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