FORM 1023-EZ for SPORTS PLAY IT FORWARD FOUNDATION 4KIDS INC

Field Data
EIN 47-2081174
Case Number EO-2014295-000430
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPORTS PLAY IT FORWARD FOUNDATION 4KIDS INC
Organization’s Mailing Address 9070 W CHEYENNE AVE STE 100
City LAS VEGAS
State NV
ZIP 89129
Accounting period End 12
Primary contact name SCOTT PENSIVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT PENSIVY
PRESIDENT
9070 W CHEYENNE AVE STE 100
LAS VEGAS NV 89129

Officer/Director/Trustee Two

KRISTEN PENSIVY
SECRETARY
9070 W CHEYENNE AVE STE 100
LAS VEGAS NV 89129

Officer/Director/Trustee Three

SAM MILES
TREASURER
9070 W CHEYENNE AVE STE 100
LAS VEGAS NV 89129

Officer/Director/Trustee Four

JEFF PETERMAN
DIRECTOR
9070 W CHEYENNE AVE STE 100
LAS VEGAS NV 89129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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