FORM 1023-EZ for PERRIS YOUTH ACADEMICS AND SPORTS

Field Data
EIN 82-5218570
Case Number EO-2018110-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PERRIS YOUTH ACADEMICS AND SPORTS
Organization’s Mailing Address 554 WILSON AVE
City PERRIS
State CA
ZIP 92571
Accounting period End 4
Primary contact name LAWERENCE MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWERENCE MILLS
PRESIDENT/CEO
554 WILSON AVE
PERRIS CA 92571

Officer/Director/Trustee Two

WILLIAM PANYE
VICE PRESIDENT
1492 HEIRLOOM AVE
PERRIS CA 92571

Officer/Director/Trustee Three

ROSENA MILLS
SECRETARY
554 WILSON AVE
PERRIS CA 92571

Officer/Director/Trustee Four

BERLEY FIELDS JR
FINICAL ADVISER
2229 FLASH CT
PERRIS CA 92571

Officer/Director/Trustee Five

TREVOR MILLS
TREASURE
554 WILSON AVE
PERRIS CA 92571

Organization’s website
Organization’s email LMILLS01@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 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 LAWERENCE MILLS
Signature Title PRESIDENT/CEO
Signature Date 4/18/18

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