FORM 1023-EZ for PAIN TO PURPOSE INC

Field Data
EIN 83-1537491
Case Number EO-2018225-000506
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAIN TO PURPOSE INC
Organization’s Mailing Address 81 W 84TH AVENUE UNIT 160
City THORNTON
State CO
ZIP 80260
Accounting period End 12
Primary contact name ART MEDINA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ART MEDINA
EXECUTIVE DIRECTOR
81 W 84TH AVENUE UNIT 160
THORNTON CO 80260

Officer/Director/Trustee Two

URSULA MEDINA
ASSISTANT DIRECTOR
81 W 84TH AVENUE UNIT 160
THORNTON CO 80260

Officer/Director/Trustee Three

SUNSHINE TANYA MARS
MEMBER
20501 I-10
LULING TX 78648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/18
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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 ART MEDINA
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/10/18

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