FORM 1023-EZ for KIDS PLAYING IT FORWARD INC

Field Data
EIN 47-2693416
Case Number EO-2015012-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIDS PLAYING IT FORWARD INC
Organization’s Mailing Address 69 CEDAR DR W
City PLAINVIEW
State NY
ZIP 11803
Accounting period End 12
Primary contact name ANDREW SACHS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW SACHS
PRESIDENT
69 CEDAR DR W
PLAINVIEW NY 11803

Officer/Director/Trustee Two

JEFFREY HERZOG
VICE PRESIDENT
4 SIMPSON DR
OLD BETHPAGE NY 11804

Officer/Director/Trustee Three

JASON TAVEL
VICE PRESIDENT
7 DOVER LANE
OLD BETHPAGE NY 11804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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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