FORM 1023-EZ for POSITIVE ENERGY AFFECTING RECOVERING LIVES INC

Field Data
EIN 47-2534808
Case Number EO-2015056-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE ENERGY AFFECTING RECOVERING LIVES INC
Organization’s Mailing Address 112 EAST CENTRAL AVE STE 20
City BENTONVILLE
State AR
ZIP 72712
Accounting period End 12
Primary contact name KAREN SLATER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN SLATER
PRESIDENT
3618 N 4TH STREET
ROGERS AR 72756

Officer/Director/Trustee Two

BONNIE ZIRBEL
VICE PRESIDENT
1313 MOBERLY LAND APT 1
BENTONVILLE AR 72712

Officer/Director/Trustee Three

SHIRLEY FARMER-RUSSELL
TREASURER
3105 CHELSEA MEAD
FORT SMITH AR 72908

Officer/Director/Trustee Four

BEN T ROBERDS
SECRETARY
112 EAST CENTRAL AVE STE 20
BENTONVILLE AR 72712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
Donation of funds Yes
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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