FORM 1023-EZ for PUREGIVE

Field Data
EIN 82-3030478
Case Number EO-2017320-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUREGIVE
Organization’s Mailing Address 3457 CAMINO LARGO
City CARLSBAD
State CA
ZIP 92009
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA LEAVER
DIRECTOR
3595 COVENTRY GARDENS DR
LAS VEGAS NV 89135

Officer/Director/Trustee Two

MIKE OLSEN
DIRECTOR
10155 W TWAIN AVE SUITE 100
LAS VEGAS NV 89147

Officer/Director/Trustee Three

MICHELE LEWIS
DIRECTOR
1481 SOUTH 1080 EAST
OREM UT 84097

Officer/Director/Trustee Four

STEVEN D FELLOWS
DIRECTOR
3457 CAMINO LARGO
CARLSBAD CA 92009

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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
Signature Title
Signature Date

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