FORM 1023-EZ for PARKLAND POKERS BLUE INC

Field Data
EIN 84-2950605
Case Number EO-2019252-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARKLAND POKERS BLUE INC
Organization’s Mailing Address 5763 NW 71ST TERRACE
City PARKLAND
State FL
ZIP 33076
Accounting period End 12
Primary contact name BARRY COHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY COHEN
PRESIDENT
5763 NW 71ST TERRACE
PARKLAND FL 33076

Officer/Director/Trustee Two

PHILIP BERK
VICE PRESIDENT
9840 S MIRALAGO WAY
PARKLAND FL 33076

Officer/Director/Trustee Three

PATRICK MCCAHILL
VICE PRESIDENT
7431 N CYPRESSHEAD DRIVE
PARKLAND FL 33076

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
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 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 PHILIP BERK
Signature Title VICE PRESIDENT
Signature Date 9/5/19

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