FORM 1023-EZ for PLAYING IT FORWARD

Field Data
EIN 47-2491039
Case Number EO-2014345-000330
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAYING IT FORWARD
Organization’s Mailing Address 8344 YERMO WAY
City SACRAMENTO
State CA
ZIP 95828
Accounting period End 7
Primary contact name JAMES M REBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES REBER
EXECUTIVE OFFICER
8344 YERMO WAY
SACRAMENTO CA 95828

Officer/Director/Trustee Two

JEFF RICH
ASST. EXECUTIVE OFFICER
729 ALCANTER CIRCLE
SACRAMENTO CA 95634

Officer/Director/Trustee Three

NATALIE RICH
SECRETARY
729 ALCANTER CIRCLE
SACRAMENTO CA 95634

Officer/Director/Trustee Four

TRACEY DONLAN
TREASURER
2677 ROUNDHILL CIRCLE
PLACERVILLE CA 95667

Organization’s website NA
Organization’s email JIM.REBER@CCSCOUGARS.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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
Signature Title
Signature Date

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