FORM 1023-EZ for HARPERS PLAYGROUND AUSTIN

Field Data
EIN 81-2555621
Case Number EO-2016130-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARPERS PLAYGROUND AUSTIN
Organization’s Mailing Address 5630 SEDONA DR
City AUSTIN
State TX
ZIP 78759
Accounting period End 1
Primary contact name MARK FERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK FERN
VP OF IT AND ADMINISTRATION
5630 SEDONA DR
AUSTIN TX 78759

Officer/Director/Trustee Two

JIM PAUL
CHIEF EXECUTIVE OFFICER
9301 SPECTRUM DR NO 727
AUSTIN TX 78717

Officer/Director/Trustee Three

ANN HALETKY
PRESIDENT / CHIEF FINANCIAL OFFICER
8901 AMBERGLEN BLVD APT 24103
AUSTIN TX 78729

Organization’s website HPGAUSTIN.ORG
Organization’s email INFO@HPGAUSTIN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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
Signature Title
Signature Date

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