FORM 1023-EZ for THE PHOENIX PROVISION

Field Data
EIN 84-4662079
Case Number EO-2020206-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PHOENIX PROVISION
Organization’s Mailing Address 8655 BROOKHOLLOW BLVD APT 6211
City FRISCO
State TX
ZIP 75034
Accounting period End 12
Primary contact name CASSANDRA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATALIE MEAD
DIRECTOR
3624 KERN RIVER DRIVE
LITTLE ELM TX 75068

Officer/Director/Trustee Two

SCOTT MCDEVITT
DIRECTOR
114 OVERLOOK RD
MORGANTOWN PA 19543

Officer/Director/Trustee Three

CASSANDRA THOMAS
DIRECTOR
8655 BROOKHOLLOW BLVD APT 6211
FRISCO TX 75034

Organization’s website THEPHOENIXPROVISION.COM
Organization’s email CTHOMAS@THEPHOENIXPROVISION.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 CASSANDRA THOMAS
Signature Title DIRECTOR
Signature Date 7/22/2020

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