FORM 1023-EZ for PREVENTION SCIENCE CORPORATION

Field Data
EIN 47-4176837
Case Number EO-2015212-000475
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PREVENTION SCIENCE CORPORATION
Organization’s Mailing Address 2406 MULBERRY STREET
City WALLER
State TX
ZIP 77484
Accounting period End 12
Primary contact name SAM ARUNGWA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMUEL ARUNGWA
EXECUTIVE DIRECTOR AND CEO
2406 MULBERRY STREET
WALLER

Officer/Director/Trustee Two

SOLOMON OSHO
DIRECTOR
2475 GRAY FALLS DRIVE APT 210
HOUSTON TX 77006

Officer/Director/Trustee Three

PRISCILLA JOHNSON
DIRECTOR
5002 CR 324 SPACE 9
NAVASOTA TX 77868

Organization’s website WWW.PREVENTIONSC.ORG
Organization’s email DRSAMARUNGWA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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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