FORM 1023-EZ for PLAY IT FORWARD PIANO CHARITY

Field Data
EIN 47-3167775
Case Number EO-2015153-000009
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAY IT FORWARD PIANO CHARITY
Organization’s Mailing Address 6848 FIVE STAR BLVD SUITE 1
City ROCKLIN
State CA
ZIP 95677
Accounting period End 12
Primary contact name DAVID COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BENJAMIN NIEVES
CEO DIRECTOR
6848 FIVE STAR BLVD SUITE 1
ROCKLIN CA 95677

Officer/Director/Trustee Two

JEFF STEVENS
CFO DIRECTOR
PO BOX 736
PALERMO CA 95968

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 Yes
Donation of funds Yes
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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