FORM 1023-EZ for PLAY FOR JAMES FOUNDATION

Field Data
EIN 81-0780426
Case Number EO-2016051-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAY FOR JAMES FOUNDATION
Organization’s Mailing Address 174 DEEPDALE DRIVE
City MIDDLETOWN
State NJ
ZIP 07748
Accounting period End 12
Primary contact name WALLACE KOEHLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WALLACE KOEHLER
PRESIDENT
174 DEEPDALE DRIVE
MIDDLETOWN NJ 07748

Officer/Director/Trustee Two

PETER KOEHLER
VICE PRESIDENT
1550 COOK STREET
DENVER CO 80206

Officer/Director/Trustee Three

MONIQUE KOEHLER
SECRETARY
174 DEEPDALE DRIVE
MIDDLETOWN NJ 07748

Organization’s website WWW.PLAYFORJAMES.ORG
Organization’s email INFO@PLAYFORJAMES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2015
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
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 Yes
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 Yes
Signature Name
Signature Title
Signature Date

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