FORM 1023-EZ for PLAY CV

Field Data
EIN 87-1612445
Case Number EO-2021235-000500
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLAY CV
Organization’s Mailing Address 3056 CASTRO VALLEY BLVD 33
City CASTRO VALLEY
State CA
ZIP 94546
Accounting period End 6
Primary contact name MICHELLE SHERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY RAMOS
EXEC DIRECTOR & DIRECTOR
3056 CASTRO VALLEY BLVD 33
CASTRO VALLEY CA 94546

Officer/Director/Trustee Two

MICHELLE SHERMAN
ASSOCIATE DIRECTOR
3056 CASTRO VALLEY BLVD 33
CASTRO VALLEY CA 94546

Officer/Director/Trustee Three

SARAH DEMPSEY
PRESIDENT
3056 CASTRO VALLEY BLVD 33
CASTRO VALLEY CA 94546

Officer/Director/Trustee Four

JUSTIN KEMP
TREASURER
3056 CASTRO VALLEY BLVD 33
CASTRO VALLEY CA 94546

Officer/Director/Trustee Five

CHRISTINA BECERRA
SECRETARY
3056 CASTRO VALLEY BLVD 33
CASTRO VALLEY CA 94546

Organization’s website WWW.PLAYCV.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
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 Yes
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 MICHELLE SHERMAN
Signature Title ASSOCIATE DIRECTOR
Signature Date 8/20/2021

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