FORM 1023-EZ for PROVIDING LEAGUE ATHLETICS FOR YOUTH

Field Data
EIN 82-3198883
Case Number EO-2018036-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROVIDING LEAGUE ATHLETICS FOR YOUTH
Organization’s Mailing Address 2470 FLINT CREEK DRIVE
City CUMMING
State GA
ZIP 30041
Accounting period End 12
Primary contact name STEPHANIE MAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE MAU
CEO
2470 FLINT CREEK DRIVE
CUMMING GA 30041

Officer/Director/Trustee Two

AVERY TUTT
COO
2470 FLINT CREEK DRIVE
CUMMING GA 30041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/17
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 STEPHANIE MAU
Signature Title CEO
Signature Date 2/2/18

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