FORM 1023-EZ for POWERUP LEADERSHIP ACADEMY - PLAY

Field Data
EIN 86-1801995
Case Number EO-2021085-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWERUP LEADERSHIP ACADEMY - PLAY
Organization’s Mailing Address 755 SOUTH MAIN STREET SUITE 4190
City CEDAR CITY
State UT
ZIP 84720
Accounting period End 12
Primary contact name COACH ML TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COACH ML TAYLOR
DIRECTOR
755 SOUTH MAIN STREET SUITE 4190
CEDAR CITY UT 84720

Officer/Director/Trustee Two

AVANIKA SHARDA
DIRECTOR
PO BOX 88969
LOS ANGELES CA 90009

Officer/Director/Trustee Three

OSVALDO ALVAREZ
DIRECTOR
PO BOX 88969
LOS ANGELES CA 90009

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2021
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 COACH ML TAYLOR
Signature Title DIRECTOR
Signature Date 2/3/2021

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