FORM 1023-EZ for YOUTH SPORTS EMPOWERMENT FOUNDATION

Field Data
EIN 81-4773291
Case Number EO-2017052-000447
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH SPORTS EMPOWERMENT FOUNDATION
Organization’s Mailing Address 7183 DOME ROCK RD
City LITTLETON
State CO
ZIP 80125
Accounting period End 12
Primary contact name JASON STENSETH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON STENSETH
PRESIDENT
7183 DOME ROCK RD
LITTLETON CO 80125

Officer/Director/Trustee Two

CHRIS MANGRUM
VICE PRESIDENT
6375 W BERRY AVE
LITTLETON CO 80123

Officer/Director/Trustee Three

LINDSEY STENSETH
SECRETARY/TREASURER
7183 DOME ROCK ROAD
LITTLETON CO 80125

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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