FORM 1023-EZ for PURVIS YOUTH FOUNDATION INCORPORATED

Field Data
EIN 84-5173116
Case Number EO-2020108-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURVIS YOUTH FOUNDATION INCORPORATED
Organization’s Mailing Address 129 FERGUSON LN
City GEORGETOWN
State KY
ZIP 40324
Accounting period End 12
Primary contact name BRADLEY PURVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY PURVIS
PRESIDENT/DIRECTOR
129 FERGUSON LN
GEORGETOWN KY 40324

Officer/Director/Trustee Two

CHRISTOPHER WEIDERT
TREASURER
1960 S MEMORIAL DR
NEW CASTLE IN 47362

Officer/Director/Trustee Three

GARY PURVIS
SECRETARY/DIRECTOR
524 S DENNY DR
NEW CASTLE IN 47362

Organization’s website
Organization’s email PURVISBA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
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 BRADLEY PURVIS
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/15/2020

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