FORM 1023-EZ for I9 SPORTS ASSOCIATION-CHAPTER190 INC

Field Data
EIN 36-4840051
Case Number EO-2016309-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I9 SPORTS ASSOCIATION-CHAPTER190 INC
Organization’s Mailing Address 3131 WACO AVE
City SIMI VALLEY
State CA
ZIP 93036
Accounting period End 12
Primary contact name FRANK RITTERSDORF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLLEEN MOELLER
PRESIDENT
3606 CLARIDGE CT
SIMI VALLEY CA 93063

Officer/Director/Trustee Two

FRANK RITTERSDORF
VICE PRESIDENT
3131 WACO AVE
SIMI VALLEY CA 93063

Officer/Director/Trustee Three

COLLEEN CONKLIN
TREASURE
4050 VALLEY FAIR
SIMI VALLEY CA 93063

Officer/Director/Trustee Four

BRANDEE RUEDY
SECRETARY
5058 JULIANNA
SIMI VALLEY CA 93063

Organization’s website I9SA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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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