FORM 1023-EZ for PINE ISLAND PLAYHOUSE INC

Field Data
EIN 81-5290501
Case Number EO-2017046-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINE ISLAND PLAYHOUSE INC
Organization’s Mailing Address 5861 WISCONSIN ST
City BOKEELIA
State FL
ZIP 33922
Accounting period End 12
Primary contact name NICHOLE PICHON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLE PICHON
DIRECTOR
5861 WISCONSIN STREET
BOKEELIA FL 33922

Officer/Director/Trustee Two

TONYA PLAYER
DIRECTOR
4849 WOODSTOCK RD
ST JAMES CITY FL 33956

Officer/Director/Trustee Three

GLENN FORD
DIRECTOR
1016 SW 51ST TERR
CAPE CORAL FL 33914

Officer/Director/Trustee Four

APRIL WILLIAMSON
DIRECTOR
4514 GULF SHORES RD
ST JAMES CITY FL 33956

Officer/Director/Trustee Five

PAUL PICHON
DIRECTOR
5861 WISCONSIN ST
BOKEELIA FL 33922

Organization’s website
Organization’s email PINEISLANDPLAYHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: No
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 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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