FORM 1023-EZ for PURE INC

Field Data
EIN 81-2480347
Case Number EO-2016175-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURE INC
Organization’s Mailing Address P O BOX 6282
City ELIZABETHTOWN
State KY
ZIP 42702
Accounting period End 7
Primary contact name KIM HEADSPETH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM HEADSPETH
DIRECTOR
1200 CLAYSVILLE LANDING 1G
ELIZABETHTOWN KY 42701

Officer/Director/Trustee Two

MARLEMA DEBREAUX
DIRECTOR
1547 WILLOW WAY
RADCLIFF KY 40160

Officer/Director/Trustee Three

VONDA STOCKTON
DIRECTOR
203 N MANTLE AVE
ELIZABETHTOWN KY 42701

Organization’s website
Organization’s email PURE.HARDIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2016
Organization Incorporation State KY
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: 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 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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