FORM 1023-EZ for PLEDGE AMERICA INC

Field Data
EIN 81-3013704
Case Number EO-2016188-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEDGE AMERICA INC
Organization’s Mailing Address 102 NE 2ND STREET SUITE 387
City BOCA RATON
State FL
ZIP 33432
Accounting period End 12
Primary contact name ATIA NARSEEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ATIA NARSEEN
INCORPORATOR
102 NE 2ND STREET SUITE 387
BOCA RATON FL 33432

Officer/Director/Trustee Two

TASBIN MIRZA
DIRECTOR
102 NE 2ND STREET SUITE 387
BOCA RATON FL 33432

Officer/Director/Trustee Three

TASVIR MIRZA
DIRECTOR
102 NE 2ND STREET SUITE 387
BOCA RATON FL 33432

Organization’s website
Organization’s email TASVIRMIRZA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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
Signature Title
Signature Date

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