FORM 1023-EZ for PLAY FOR YOUR FREEDOM INC

Field Data
EIN 47-5471085
Case Number EO-2016146-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAY FOR YOUR FREEDOM INC
Organization’s Mailing Address 191 DUBOIS ST
City NEWBURGH
State NY
ZIP 12550
Accounting period End 12
Primary contact name DAVID LIONHEART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID LIONHEART
PRESIDENT
191 DUBOIS ST
NEWBURGH NY 12550

Officer/Director/Trustee Two

NICK CHIARELLA
SECRETARY
325 DEAN HILL ROAD
KILLINGTON VT 05751

Officer/Director/Trustee Three

HENDERSON BRATHWAITE
TREASURER
442 BROADWAY APT 1
BAYONNE NJ 07002

Organization’s website PLAYFORYOURFREEDOM@GMAIL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
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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