FORM 1023-EZ for PLAYFUL HEALING INC

Field Data
EIN 82-3002087
Case Number EO-2017285-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAYFUL HEALING INC
Organization’s Mailing Address 13699 RANIER DR
City MIDDLEBURY
State IN
ZIP 46540
Accounting period End 12
Primary contact name BRADEN WELDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRYSTAL KALB-WELDY
PRESIDENT AND COO
13699 RANIER DR
MIDDLEBURY IN 46540

Officer/Director/Trustee Two

BRADEN WELDY
SECRETARY-TREASURER
13699 RANIER DR
MIDDLEBURY IN 46540

Officer/Director/Trustee Three

JILLIAN SULLIVAN
VICE-PRESIDENT
368 FIREHOUSE PLACE
INDIANAPOLIS IN 46204

Officer/Director/Trustee Four

BRAD MIER
ASST SECRETARY-TREASURER
368 FIREHOUSE PLACE
INDIANAPOLIS IN 46204

Organization’s website
Organization’s email PLAYFULHEALINGINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 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 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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