FORM 1023-EZ for STUDENT ATHLETE FITNESS EVALUATION
| Field | Data |
|---|---|
| EIN | 47-2165800 |
| Case Number | EO-2017293-000242 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | STUDENT ATHLETE FITNESS EVALUATION |
| Organization’s Mailing Address | 7060 SHOUP AVE UNIT 195 |
| City | CANOGA PARK |
| State | CA |
| ZIP | 91303-3005 |
| Accounting period End | 12 |
| Primary contact name | LAUREL TRAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LAUREL TRAVIS
CEO
7060 SHOUP AVE UNIT 195
CANOGA PARK CA 91303-3005
Officer/Director/Trustee Two
JONATHAN TRAVIS
CFO
7060 SHOUP AVE UNIT 195
CANOGA PARK CA 91303-3005
Officer/Director/Trustee Three
MEGAN TRAVIS
CTO
7060 SHOUP AVE UNIT 195
CANOGA PARK CA 91303-3005
| Organization’s website | SAFEHEARTSCREENING.COM |
|---|---|
| Organization’s email | SAFEHEARTSCREENING@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/7/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: No Literary: No Public Safety: Yes Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date | |
| EIN | 47-2165800 |
| Case Number | EO-2014328-000330 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | STUDENT ATHLETE FITNESS EVALUTATION |
| Organization’s Mailing Address | 21821 SATICOY ST |
| City | CANOGA PARK |
| State | CA |
| ZIP | 91304-6005 |
| Accounting period End | 12 |
| Primary contact name | LAUREL A TRAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
LAUREL TRAVIS
OWNER
21821 SATICOY ST APT 7
CANOGA PARK CA 91304-6005
| Organization’s website | |
|---|---|
| Organization’s email | SAFEHEARTSCREENING@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/3/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G43 - Heart and Circulatory System Diseases, Disorders |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: Yes Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| 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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