FORM 1023-EZ for KIDS PLAY SAFE

Field Data
EIN 45-2792406
Case Number EO-2018031-000227
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS PLAY SAFE
Organization’s Mailing Address 873 E GEMINI PLACE
City CHANDLER
State AZ
ZIP 85249
Accounting period End 12
Primary contact name ANNISSA FURR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNISSA FURR
DIRECTOR
30372 N 128TH LANE
PEORIA AZ 85383

Officer/Director/Trustee Two

ERIN CARR-JORDAN
DIRECTOR
873 GEMINI PLACE
CHANDLER AZ 85249

Organization’s website WWW.FACEBOOK.COM/KPSECOGROUP
Organization’s email AFURR08@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/11
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 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 ANNISSA FURR
Signature Title DIRECTOR
Signature Date 1/29/18

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