FORM 1023-EZ for PLAYING IT BACK INC

Field Data
EIN 87-2125442
Case Number EO-2021250-000622
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLAYING IT BACK INC
Organization’s Mailing Address 900 WORCESTER STREET
City WELLESLEY
State MA
ZIP 02482-3708
Accounting period End 12
Primary contact name SCOTT ALTONIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN DEVELLIS
DIRECTOR
900 WORCESTER STREET
WELLESLEY MA 02482-3708

Organization’s website PLAYINGITBACK.ORG
Organization’s email BRIAN@DEVELLIS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2021
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 No
Signature Name BRIAN DEVELLIS
Signature Title DIRECTOR
Signature Date 9/3/2021

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