FORM 1023-EZ for PK KIDS PLAYHOUSE FOR DISABLED ANDDISADVANTAGED CHILDREN INC

Field Data
EIN 81-2851862
Case Number EO-2016187-000604
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PK KIDS PLAYHOUSE FOR DISABLED ANDDISADVANTAGED CHILDREN INC
Organization’s Mailing Address 360 SE 12TH AVENUE 8
City DEERFIELD BEACH
State FL
ZIP 33441
Accounting period End 11
Primary contact name KAREN GAY NAPIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN GAY NAPIER
PRESIDENT
360 SE 12TH AVENUE 8
DEERFIELD BEACH FL 33441

Officer/Director/Trustee Two

BENJAMIN CARROLL
TREASURER
1915 SPRUCE AVENUE
WEST PALM BEACH FL 33407

Officer/Director/Trustee Three

TNESLEY GAY
SECRETARY
4971 HAVERHILL COMMONS CIRCLE 14
WEST PALM BEACH FL 33417

Organization’s website KARENSPLAYHOUSE.ORG
Organization’s email KARENSPLAYHOUSE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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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