FORM 1023-EZ for PICKLEBALL HALL OF FAME FOUNDATIONNFP

Field	Data
EIN	82-2299154
Case Number	EO-2019191-000196
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	PICKLEBALL HALL OF FAME FOUNDATIONNFP
Organization’s Mailing Address	2 LYNGBY CT
City	RIVERWOODS
State	IL
ZIP	60015
Accounting period End	12
Primary contact name	SEYMOUR RIFKIND
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

SEYMOUR RIFKIND
PRESIDENT/FOUNDER
60015
RIVERWOODS IL 60015

Officer/Director/Trustee Two

ANDY GENSCH
VICE PRESIDENT/TREASURER
8206 W 129TH TERRACE
OVERLAND PARK KS 66213

Officer/Director/Trustee Three

STEVE PARANTO
SECRETARY
4433 SE OAKHURST ST
HILLSBORO OR 97123

Officer/Director/Trustee Four

WES GABRIELSEN
DIRECTOR
680 SW HILL RD NUMBER 2
MCMINNVILLE OR 97128

Officer/Director/Trustee Five

JACK THOMAS
DIRECTOR
7471 E ROSE GARDEN LANE
SCOTTSDALE AZ 85255

Organization’s website	WWW.PICKLEBALLHALLOFFAME.COM
Organization’s email	RIF@PICKLEBALLHALLOFFAME.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	7/22/17
Organization Incorporation State	IL
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	N66 - Tennis, Racquet Sports Clubs, Leagues
Organization’s purpose	Charitable: No Religious: No Educational: Yes 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	SEYMOUR RIFKIND
Signature Title	PRESIDENT/FOUNDER
Signature Date	7/6/19
EIN	82-2299154
Case Number	EO-2019191-000196
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	PICKLEBALL HALL OF FAME FOUNDATION NFP
Organization’s Mailing Address	2 LYNGBY CT
City	RIVERWOODS
State	IL
ZIP	60015
Accounting period End	12
Primary contact name	SEYMOUR RIFKIND
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00