FORM 1023-EZ for PAY KIDS FIRST FOUNDATION INC

Field Data
EIN 83-2799869
Case Number EO-2019028-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAY KIDS FIRST FOUNDATION INC
Organization’s Mailing Address 3540 LOQUAT AVENUE
City MIAMI
State FL
ZIP 33133
Accounting period End 12
Primary contact name CARLA D ANDRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA D ANDRE
PRESIDENT / DIRECTOR
3561 AVOCADO AVENUE
MIAMI FL 33133

Officer/Director/Trustee Two

BRUCE BEALKE
DIRECTOR
2301 DIAMOND HEAD WAY
OXFORD CA 93036

Officer/Director/Trustee Three

PHILIP SHENKMAN
DIRECTOR
12946 SW 133 COURT
MIAMI FL 33186

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State FL
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: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 CARLA D ANDRE
Signature Title PRESIDENT / DIRECTOR
Signature Date 12/13/18

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