FORM 1023-EZ for PEGI FOUNDATION INC

Field Data
EIN 83-1857059
Case Number EO-2018282-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEGI FOUNDATION INC
Organization’s Mailing Address 2529 YEOMAN LANE
City WEST LAFAYETTE
State IN
ZIP 47906-617
Accounting period End 6
Primary contact name LOUIS SCHAFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LOUIS SCHAFER
DIRECTOR
2529 YEOMAN LANE
WEST LAFAYETTE IN 47906-617

Officer/Director/Trustee Two

ANITA SCHAFER
DIRECTOR
2529 YEOMAN LANE
WEST LAFAYETTE IN 47906-617

Officer/Director/Trustee Three

SARAH MOTLEY
DIRECTOR
2529 YEOMAN LANE
WEST LAFAYETTE IN 47906-617

Organization’s website HTTPS://PEGIFOUNDATION.ORG
Organization’s email INFO@PEGIFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANITA SCHAFER
Signature Title DIRECTOR
Signature Date 10/4/18

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