FORM 1023-EZ for FORKOUT INC

Field Data
EIN 82-0847108
Case Number EO-2017090-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORKOUT INC
Organization’s Mailing Address 1140 WALL STREET 3232
City LA JOLLA
State CA
ZIP 92038
Accounting period End 12
Primary contact name COURTNEY MOYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTNEY MOYER
BOARD CHAIR PRESIDENT
1140 WALL STREET 3232
LA JOLLA CA 92038

Organization’s website WWW.FORKOUT.ORG
Organization’s email COURTNEY@FORKOUT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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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