FORM 1023-EZ for PUREV INC

Field Data
EIN 46-4512741
Case Number EO-2015078-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUREV INC
Organization’s Mailing Address 7217 WAGON RUN DRIVE
City FORT WORTH
State TX
ZIP 76137
Accounting period End 12
Primary contact name KEVIN MABRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN MABRY
DIRECTOR
7217 WAGON RUN DRIVE
FORT WORTH TX 76137

Officer/Director/Trustee Two

CYNTHIA MABRY
DIRECTOR
7217 WAGON RUN DRIVE
FORT WORTH TX 76137

Officer/Director/Trustee Three

ANDY WALLACE
DIRECTOR
7217 WAGON RUN DRIVE
FORT WORTH TX 76137

Organization’s website PUREVN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
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
Signature Title
Signature Date

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