FORM 1023-EZ for PROVIDENCE IN MOTION INC

Field Data
EIN 81-1108567
Case Number EO-2016020-000224
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROVIDENCE IN MOTION INC
Organization’s Mailing Address 11005 STONE RD
City BURLESON
State TX
ZIP 76028
Accounting period End 12
Primary contact name ZACKARY JARMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ZACKARY JARMON
DIRECTOR
11005 STONE RD
BURLESON TX 76028

Officer/Director/Trustee Two

YALONDA JARMON
DIRECTOR
11005 STONE RD
BURLESON TX 76028

Officer/Director/Trustee Three

VINCENT WYATT
DIRECTOR
11005 STONE RD
BURLESON TX 76028

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 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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