FORM 1023-EZ for PAIN 2 PURPOSE

Field Data
EIN 85-3708674
Case Number EO-2020310-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAIN 2 PURPOSE
Organization’s Mailing Address 3739 BLACK EAGLE DR APT 13
City ANTELOPE
State CA
ZIP 95843
Accounting period End 12
Primary contact name TOURIA MOBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA FRY
PRESIDENT
3739 BLACK EAGLE DR APT 13
ANTELOPE CA 95843

Officer/Director/Trustee Two

ADRIANA AMAYA-ABELLA
SECRETARY
636 W FARGO AVE
HANFORD CA 93230

Officer/Director/Trustee Three

DANNY FRY
TREASURER
1240 FERNOT WAY APT A
HANFORD CA 93230

Organization’s website www.lisafry.org
Organization’s email PAIN2PURPOSE916@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2020
Organization Incorporation State CA
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 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 LISA FRY
Signature Title PRESIDENT
Signature Date 11/2/2020

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