FORM 1023-EZ for PROVISION INTERNATIONAL PRODUCTIONSINC

Field Data
EIN 45-5124834
Case Number EO-2014241-000102
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROVISION INTERNATIONAL PRODUCTIONSINC
Organization’s Mailing Address PO BOX 7112
City MOORE
State OK
ZIP 73153
Accounting period End 12
Primary contact name GREG MCRAY EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRAVIS PALMER
PRESIDENT
1049 NW 7TH ST
MOORE OK 73160

Officer/Director/Trustee Two

CARL ROSE
TREASURER
2124 PARK AVE
NEWCASTLE OK 73065

Officer/Director/Trustee Three

BRETT ROSTYKUS
SECRETARY
8812 DENA LN
OKLAHOMA CITY OK 73132

Officer/Director/Trustee Four

MATTHEW YAKEL
DIRECTOR
7007 NW 46TH ST
BETHANY OK 73008

Officer/Director/Trustee Five

RICHARD SCHNEIDER
DIRECTOR
3113 N W 24TH ST
NEWCASTLE OK 73065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2012
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 Yes
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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