FORM 1023-EZ for REFLECT 2 B SAFE INC

Field Data
EIN 81-2872986
Case Number EO-2016305-000482
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REFLECT 2 B SAFE INC
Organization’s Mailing Address 1427 W 86TH ST STE 615
City INDIANAPOLIS
State IN
ZIP 46260
Accounting period End 12
Primary contact name MELISA D JONES-SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATILDA BROWN
PRESIDENT/CEO
5549 ROSEWOOD COMMONS DR APT 5505
INDIANAPOLIS IN 46254

Officer/Director/Trustee Two

CHERRELL PITTMAN
CFO
5323 WETHERBY CT
INDIANAPOLIS IN 46254

Officer/Director/Trustee Three

CATHERINE GIVENS
SECRETARY
2808 W 75TH ST
INDIANAPOLIS IN 46268

Organization’s website
Organization’s email MATILDABROWN78@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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
Signature Title
Signature Date

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