FORM 1023-EZ for PERSONALIZED INDIVIDUAL EDUCATION

Field Data
EIN 83-1575614
Case Number EO-2019059-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERSONALIZED INDIVIDUAL EDUCATION
Organization’s Mailing Address 2831 ST ROSE PARKWAY SUITE 200
City HENDERSON
State NV
ZIP 89052
Accounting period End 12
Primary contact name BRENT BARTLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENT BARTLETT
PRESIDENT, TREASURER
2831 ST ROSE PARKWAY SUITE 200
HENDERSON NV 89052

Officer/Director/Trustee Two

SHERAH BARTLETT
SECRETARY
2831 ST ROSE PARKWAY SUITE 200
HENDERSON NV 89052

Officer/Director/Trustee Three

MARY MITCHELL
DIRECTOR
2831 ST ROSE PARKWAY SUITE 200
HENDERSON NV 89052

Organization’s website
Organization’s email MATHDADD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/18
Organization Incorporation State NV
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: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRENT BARTLETT
Signature Title PRESIDENT, TREASURER
Signature Date 2/26/19

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