FORM 1023-EZ for POSITIVE ACTION MINISTRIES

Field Data
EIN 81-3252428
Case Number EO-2016217-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE ACTION MINISTRIES
Organization’s Mailing Address PO BOX 353
City FLORENCE
State MS
ZIP 39073
Accounting period End 12
Primary contact name KIMBERLY SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY SHELTON
TREASURER
128B S CHURCH ST
FLORENCE MS 39073

Officer/Director/Trustee Two

LANCE VARNER
DIRECTOR
1072 HWY 469 S
FLORENCE MS 39073

Officer/Director/Trustee Three

AMANDA PURVIS
DIRECTOR
332 S COUNTY LINE RD
FLORENCE MS 39073

Officer/Director/Trustee Four

REBECCA GASSON
V PRESIDENT
128 B S CHURCH ST
FLORENCE MS 39073

Officer/Director/Trustee Five

JORDAN WALKER
V PRESIDENT
128 B S CHURCH ST
FLORENCE MS 39073

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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