FORM 1023-EZ for PLAY IT FORWARD SPORTS

Field Data
EIN 47-1914306
Case Number EO-2014297-000137
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLAY IT FORWARD SPORTS
Organization’s Mailing Address 37000 WOODWARD AVENUE SUITE 300
City BLOOMFIELD HILLS
State MI
ZIP 48304
Accounting period End 12
Primary contact name JEFFREY D MOSS ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANA RIFAT
DIRECTOR PRESIDENT
4699 WOODBINE CIRCLE
WEST BLOOMFIELD MI 48323

Officer/Director/Trustee Two

CHLOE RIFAT
DIRECTOR
4699 WOODBINE CIRCLE
WEST BLOOMFIELD MI 48323

Officer/Director/Trustee Three

SAMI RIFAT
DIRECTOR
4699 WOODBINE CIRCLE
WEST BLOOMFIELD MI 48323

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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