FORM 1023-EZ for KIRVEN TRANSFORMATION INC

Field Data
EIN 83-2160773
Case Number EO-2018285-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIRVEN TRANSFORMATION INC
Organization’s Mailing Address 4630 50TH SUITE 509
City LUBBOCK
State TX
ZIP 79414
Accounting period End 12
Primary contact name ROMEYO KIRVEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROMEYO KIRVEN
DIRECTOR
4630 50TH SUITE 509
LUBBOCK TX 79414

Officer/Director/Trustee Two

SHERIE KIRVEN
DIRECTOR
4630 50TH SUITE 509
LUBBOCK TX 79414

Officer/Director/Trustee Three

TWILA KIRVEN
DIRECTOR
4630 50TH SUITE 509
LUBBOCK TX 79414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 ROMEYO KIRVEN
Signature Title DIRECTOR
Signature Date 10/10/18

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