FORM 1023-EZ for PUSH FOWARD INC

Field Data
EIN 82-3245329
Case Number EO-2018016-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUSH FOWARD INC
Organization’s Mailing Address 333 2ND ST
City SILAS
State AL
ZIP 36919
Accounting period End 12
Primary contact name NATALIE D GRAYSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE GRAYSON
EXECUTIVE DIRECTOR
333 2ND ST
SILAS AL 36919

Officer/Director/Trustee Two

SHANTEL DAILEY
BOARD MEMBER
19175 1ST STREET
CITRONELLE AL 36522

Officer/Director/Trustee Three

ASHLEY POWE
BOARD MEMBER
2570 SHADY GROVE RD
SILAS AL 36919

Officer/Director/Trustee Four

CATHERINE MCMILLIAN
BOARD MEMBER
186 FALL DRIVE
CHATOM AL 36518

Officer/Director/Trustee Five

LEATHA LOPER
BOARD MEMBER
415 NICOLES LANE
STATELINE MS 39367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/17
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 NATALIE GRAYSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/11/18

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