FORM 1023-EZ for PROJECT IMAGINE ME

Field Data
EIN 81-2576165
Case Number EO-2016159-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT IMAGINE ME
Organization’s Mailing Address 12113 CROSBY LYNCHBURG
City CROSBY
State TX
ZIP 77532-8673
Accounting period End 12
Primary contact name STEPHANIE HICKOMBOTTOM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHANIE HICKOMBOTTOM
PRESIDENT
12113 CROSBY LYNCHBURG
CROSBY TX 77532-8673

Officer/Director/Trustee Two

TANGELA HARRIS
SECRETARY
12113 CROSBY LYNCHBURG
CROSBY TX 77532-8673

Officer/Director/Trustee Three

TYRON LEFFALL
TREASURER
12113 CROSBY LYNCHBURG
CROSBY TX 77532-8673

Officer/Director/Trustee Four

KAMALAH ALFRED
DIRECTOR
12113 CROSBY LYNCHBURG
CROSBY TX 77532-8673

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2016
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
Signature Title
Signature Date

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