FORM 1023-EZ for SIMPLY DAD

Field Data
EIN 81-2615667
Case Number EO-2016190-000579
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMPLY DAD
Organization’s Mailing Address 6240 E CALLE DEL MEDIA
City SCOTTSDALE
State AZ
ZIP 85251-3022
Accounting period End 12
Primary contact name ANDREW SEIDENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW SEIDENBERG
DIRECTOR
6240 E CALLE DEL MEDIA
SCOTTSDALE AZ 85251-3022

Officer/Director/Trustee Two

MELISSA SEIDENBERG
DIRECTOR
6240 E CALLE DEL MEDIA
SCOTTSDALE AZ 85251-3022

Officer/Director/Trustee Three

WILLIAM KOSLOW
DIRECTOR
6328 E CALLE DEL NORTE
SCOTTSDALE AZ 85251-3022

Officer/Director/Trustee Four

PATRICIA KOSLOW
DIRECTOR
5346 E CALLE DEL NORTE
PHOENIX AZ 85018-4449

Officer/Director/Trustee Five

MICHAEL KOSLOW
DIRECTOR
5346 E CALLE DEL NORTE
PHOENIX AZ 85018-4449

Organization’s website WWW.SIMPLYDAD.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
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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