FORM 1023-EZ for PLAYGROUND 630 INC

Field Data
EIN 87-2281555
Case Number EO-2021242-000742
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLAYGROUND 630 INC
Organization’s Mailing Address 5615 SOUTH WAYNE AVE
City FORT WAYNE
State IN
ZIP 46807
Accounting period End 12
Primary contact name THOMAS G HOFRICHTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HOFRICHTER
EXECUTIVE DIRECTOR
5615 SOUTH WAYNE AVE
FORT WAYNE IN 46807

Officer/Director/Trustee Two

NANCY KARTHOLL
MEMBER
5615 SOUTH WAYNE AVE
FORT WAYNE IN 46807

Officer/Director/Trustee Three

ALLISON CORRON
MEMBER
6830 TRALEE CT
FORT WAYNE IN 46835

Officer/Director/Trustee Four

TOM CORRON
MEMBER
6830 TRALEE CT
FORT WAYNE IN 46835

Officer/Director/Trustee Five

DAVID SORG
MEMBER
8015 GRASSLAND CT
FORT WAYNE IN 46825

Organization’s website PLAYGROUND630.COM
Organization’s email PLAYGROUND630@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 8/25/2021
Organization Incorporation State IN
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code A65 - Theater
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption Yes
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 No
Signature Name THOMAS HOFRICHTER
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/28/2021

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