FORM 1023-EZ for PLAY POSTIVE LEARNING ACTIVE YOUTH

Field Data
EIN 85-2070296
Case Number EO-2020209-000946
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLAY POSTIVE LEARNING ACTIVE YOUTH
Organization’s Mailing Address 5234 BRADLY
City KATY
State TX
ZIP 77493
Accounting period End 12
Primary contact name TRACIE COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACIE COOK
DIRECTOR
5234 BRADLY LN
KATY TX 77493

Officer/Director/Trustee Two

JENNIFER SIMPSON
TRESURER
4406 WINDSOCK LN
BROOKSHIRE TX 77423

Officer/Director/Trustee Three

CAROLYN HALL
SECRETARY
5234 BRADLY LN
KATY TX 77493

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 TRACIE COOK
Signature Title DIRECTOR
Signature Date 7/21/2020

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