FORM 1023-EZ for PINKBALL INC

Field Data
EIN 81-3429532
Case Number EO-2016222-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINKBALL INC
Organization’s Mailing Address 19795 SEDGEFIELD TERRACE
City BOCA RATON
State FL
ZIP 33498
Accounting period End 12
Primary contact name JENNIFER BEIMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE STALLONE
PRESIDENT
19795 SEDGEFIELD TERRACE
BOCA RATON FL 33498

Officer/Director/Trustee Two

MAUREEN EUSTACE
TREASURER
11391 ISLAND LAKES LANE
BOCA RATON FL 33498

Officer/Director/Trustee Three

JENNIFER BEIMEL
SECRETARY
20946 AVENEL RUN
BOCA RATON FL 33428

Officer/Director/Trustee Four

JASON SHATSKY
VICE PRESIDENT
11187 BOCA WOODS LANE
BOCA RATON FL 33428

Organization’s website BOCAPINKBALL.COM
Organization’s email ADMIN@BOCAPINKBALL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G32 - Breast Cancer
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 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
Signature Title
Signature Date

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