FORM 1023-EZ for POWER OF PLAY FOUNDATION

Field Data
EIN 84-1986920
Case Number EO-2019165-000126
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWER OF PLAY FOUNDATION
Organization’s Mailing Address 3713 CLAIRMONT RD
City BISMARCK
State ND
ZIP 58503
Accounting period End 12
Primary contact name SARAH DAHL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH DAHL
PRESIDENT / TREASURER
3713 CLAIRMONT RD
BISMARCK ND 58503

Officer/Director/Trustee Two

BRIAN DAHL
VICE PRESIDENT / SECRETARY
3713 CLAIRMONT RD
BISMARCK ND 58503

Officer/Director/Trustee Three

AMY JUELSON
DIRECTOR
3512 ROOSEVELT DR
BISMARCK ND 58503

Organization’s website WWW.POWEROFPLAYFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/19
Organization Incorporation State ND
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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 SARAH DAHL
Signature Title PRESIDENT
Signature Date 6/12/19

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