FORM 1023-EZ for PAINS

Field Data
EIN 90-0655166
Case Number EO-2016293-000480
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAINS
Organization’s Mailing Address 452 S PARKWAY E
City MEMPHIS
State TN
ZIP 38106-5438
Accounting period End 12
Primary contact name KENNETH GILLION SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH GILLION SR
PRESIDENT
452 S PARKWAY E
MEMPHIS TN 38106-5438

Officer/Director/Trustee Two

DEBRA SMITH
VICE PRESIDENT
452 S PARKWAY E
MEMPHIS TN 38106-5438

Officer/Director/Trustee Three

IRENE GILLION
SECRETARY-TREASURER
452 S PARKWAY E
MEMPHIS TN 38106-5438

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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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