FORM 1023-EZ for PLAY LIKE JACKSON

Field Data
EIN 46-2926028
Case Number EO-2016347-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAY LIKE JACKSON
Organization’s Mailing Address 618 CHERRY BLOSSOM LANE
City FENTON
State MI
ZIP 48430
Accounting period End 12
Primary contact name REBECCA ENSIGN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA ENSIGN
DIRECTOR
3670 MORRISSEY AVENUE
WARREN MI 48091-1950

Officer/Director/Trustee Two

DOUGLAS GANGWER
PRESIDENT
618 CHERRY BLOSSOM LANE
FENTON MI 48430

Officer/Director/Trustee Three

MICHELLE GANGWER
SECRETARY
618 CHERRY BLOSSOM LANE
FENTON MI 48430

Officer/Director/Trustee Four

MICHELLE GANGWER
TREASURER
618 CHERRY BLOSSOM LANE
FENTON MI 48430

Organization’s website PLAYLIKEJACKSON.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2013
Organization Incorporation State MI
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 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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