FORM 1023-EZ for P AND B COMMUNITY SERVICE INC

Field Data
EIN 47-5570603
Case Number EO-2016322-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name P AND B COMMUNITY SERVICE INC
Organization’s Mailing Address 2113 HUNTINGTON PL
City PONCA CITY
State OK
ZIP 74604
Accounting period End 12
Primary contact name FRANK VILLARRUEL III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK VILLARRUEL III
PRESIDENT
2113 HUNTINGTON PL
PONCA CITY OK 74604

Officer/Director/Trustee Two

LACY VILLARRUEL
VICE PRESIDENT
2113 HUNTINGTON PL
PONCA CITY OK 74604

Officer/Director/Trustee Three

RAYE LYNN
SECRETARY
1421 N 4TH
PONCA CITY OK 74601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2015
Organization Incorporation State OK
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 No
One Third Support Public Yes
One Third Support Gifts No
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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