FORM 1023-EZ for PURPLE LINE ADVENTURE PLAY

Field Data
EIN 84-3282348
Case Number EO-2019284-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PURPLE LINE ADVENTURE PLAY
Organization’s Mailing Address 600A SOUTH BLVD
City EVANSTON
State IL
ZIP 60202-2988
Accounting period End 12
Primary contact name YULIA BORISOVA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YULIA BORISOVA
FOUNDER, BOARD CHAIR
600A SOUTH BLVD
EVANSTON IL 60202-2988

Officer/Director/Trustee Two

THOMAS KINNEBREW
BOARD TREASURER
2714 CRAWFORD AVE
EVANSTON IL 60201-4924

Officer/Director/Trustee Three

HUONG NGUYEN
BOARD SECRETARY
922 JUDSON AVE UNIT 1
EVANSTON IL 60202-1858

Organization’s website PURPLELINEADVENTUREPLAY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 YULIA BORISOVA
Signature Title FOUNDER, BOARD CHAIR
Signature Date 10/8/19

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