FORM 1023-EZ for CARSON CITY PLAY ON

Field Data
EIN 47-1034450
Case Number EO-2015169-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARSON CITY PLAY ON
Organization’s Mailing Address 900 CRAIN STREET
City CARSON CITY
State NV
ZIP 89703
Accounting period End 12
Primary contact name FREYA OBERER-BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MOLLY WALT
PRESIDENT
900 CRAIN ST
CARSON CITY NV 89703

Officer/Director/Trustee Two

FREYA OBERER-BROWN
SECRETARY
204 N MINNESOTA ST
CARSON CITY NV 89703

Officer/Director/Trustee Three

FREYA OBERER-BROWN
TREASURER
204 N MINNESOTA ST
CARSON CITY NV 89703

Officer/Director/Trustee Four

CHRIS MACKENZIE
DIRECTOR
402 N DIVISION
CARSON CITY NV 89703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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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