FORM 1023-EZ for PAY IT FORWARD FOUNDATION

Field Data
EIN 95-4810010
Case Number EO-2020169-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAY IT FORWARD FOUNDATION
Organization’s Mailing Address 1615 BRIARWOOD LN
City GEARHART
State OR
ZIP 97138
Accounting period End 4
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANCE SECRETAN
PRESIDENT/DIRECTOR
117 CATARACT RD
CALEDON, ON, L7K1P2

Officer/Director/Trustee Two

JULIE KLEIN
TREASURER/DIRECTOR
3100 13TH AVE SOUTH
FARGO ND 58103

Officer/Director/Trustee Three

CATHERINE HYDE
SECRETARY/DIRECTOR
287 WEYMOUTH ST
CAMBRIA CA 93428

Officer/Director/Trustee Four

ORLY WAHBA
DIRECTOR
2101 OCEAN PWY
BROOKLYN NY 11223

Officer/Director/Trustee Five

BOB LITTEL
DIRECTOR
10523 BIG CANOE
JASPER GA 30143

Organization’s website WWW.PAYITFORWARDFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2000
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JULIE KLEIN
Signature Title TREASURER/DIRECTOR
Signature Date 6/15/2020

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