FORM 1023-EZ for POSITIVELY SOCIAL INC

Field Data
EIN 82-1773896
Case Number EO-2017188-000263
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVELY SOCIAL INC
Organization’s Mailing Address 629 N ARDEN DR
City BEVERLY HILLS
State CA
ZIP 90210
Accounting period End 12
Primary contact name JANE BUCKINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANE BUCKINGHAM
CO-PRESIDENT
629 N ARDEN DR
BEVERLY HILLS CA 90210

Officer/Director/Trustee Two

MELISSA GISONI
CO PRESIDENT
629 N ARDEN DR
BEVERLY HILLS CA 90210

Officer/Director/Trustee Three

JULIE BLOCK
SECRETARY/TREASURER
629 N ARDEN DR
BEVERLY HILLS CA 90210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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