FORM 1023-EZ for THE PLAYBACK FELLOWSHIP

Field Data
EIN 85-3622785
Case Number EO-2021034-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PLAYBACK FELLOWSHIP
Organization’s Mailing Address 1454 E 91 STREET
City BROOKLYN
State NY
ZIP 11236-4906
Accounting period End 12
Primary contact name CHANEL AUGUSTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANEL AUGUSTE
DIRECTOR
1454 E 91 STREET
BROOKLYN NY 11236-4906

Officer/Director/Trustee Two

JENNA NOVAK
OFFICER
172 HALSEY STREET APT 2
BROOKLYN NY 11216-2170

Officer/Director/Trustee Three

LEBRANDON SMITH
OFFICER
178-40 LESLIE ROAD
JAMAICA NY 11434-2734

Organization’s website
Organization’s email THEPLAYBACKFELLOWSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities 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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHANEL AUGUSTE
Signature Title DIRECTOR
Signature Date 12/14/2020

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