FORM 1023-EZ for PURE POSITIVE INTENTIONS

Field Data
EIN 82-5129853
Case Number EO-2020273-000573
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURE POSITIVE INTENTIONS
Organization’s Mailing Address 23237 PROVIDENCE DR 406
City SOUTHFIELD
State MI
ZIP 48075
Accounting period End 12
Primary contact name RHEA KNOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON PALMER
PRESIDENT/ DIRECTOR
23237 PROVIDENCE
SOUTHFIELD MI 48075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 JASON PALMER
Signature Title PRESIDENT/ DIRECTOR
Signature Date 9/24/2020

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