FORM 1023-EZ for POSITIVE REFLECTION MINISTRIES INC

Field Data
EIN 20-0998253
Case Number EO-2016106-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE REFLECTION MINISTRIES INC
Organization’s Mailing Address 1326 ALASKA AVE
City DALLAS
State TX
ZIP 75216
Accounting period End 12
Primary contact name REGINE GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REGINE GREEN
EXECUTIVE DIRECTOR
1326 ALASKA AVE
DALLAS TX 75216-1004

Officer/Director/Trustee Two

ALICE ROBINSON
PRESIDENT
3402 SAN JACINTO ST APT A
DALLAS TX 75204-5494

Officer/Director/Trustee Three

CYNTHIA WORTHINGTON
SECRETRY
3609 BERMUDA DR
ROWLETT TX 75088-5493

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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