FORM 1023-EZ for PROJECT EXIT LLC

Field Data
EIN 82-1209830
Case Number EO-2017115-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT EXIT LLC
Organization’s Mailing Address 1613 NE 15TH
City OKLAHOMA CITY
State OK
ZIP 73117
Accounting period End 12
Primary contact name VIVIAN TYSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVIAN TYSON
PRESIDENT
1613 NE 15TH
OKLAHOMA CITY OK 73117

Officer/Director/Trustee Two

VICKI MILES LAGRANGE
DIRECTOR
PO BOX 796
OKLAHOMA CITY OK 73101

Officer/Director/Trustee Three

EDWARD TYSON
DIRECTOR
1613 NE 15TH
OKLAHOMA CITY OK 73117

Officer/Director/Trustee Four

DECARLA STEELE
DIRECTOR
9029 NW 79TH
OKLAHOMA CITY OK 73099

Officer/Director/Trustee Five

CLORA FARMER
DIRECTOR
PO BOX 10985
MIDWEST CITY OK 73140

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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