FORM 1023-EZ for PRIME SUMMIT INC

Field Data
EIN 82-5132710
Case Number EO-2018117-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRIME SUMMIT INC
Organization’s Mailing Address 5210 GRAND AVENUE
City FORT SMITH
State AR
ZIP 72904
Accounting period End 12
Primary contact name RICK GOINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICK GOINS
DIRECTOR
7515 WESTMINISTER PLACE
FORT SMITH AR 72903

Officer/Director/Trustee Two

KARIN HICKENBOTHAM
DIRECTOR
3418 SOUTH N STREET APT D
FORT SMITH AR 72903

Officer/Director/Trustee Three

CLAIRE KOLBERG
DIRECTOR
1100 GARRISON AVENUE
FORT SMITH AR 72901

Officer/Director/Trustee Four

DALTON PERSON
DIRECTOR
401 NORTH 7TH STREET
FORT SMITH AR 72902

Officer/Director/Trustee Five

JAMES RICHARDSON
DIRECTOR
509 NORTH 7TH
FORT SMITH AR 72901

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - 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 RICK GOINS
Signature Title DIRECTOR
Signature Date 4/25/18

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