FORM 1023-EZ for ELEVATED SPORTS

Field Data
EIN 84-3246019
Case Number EO-2019352-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEVATED SPORTS
Organization’s Mailing Address 1508 S OGDEN DRIVE
City LOS ANGELES
State CA
ZIP 90019
Accounting period End 12
Primary contact name DANIELLE ADEFESO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE ADEFESO
PRESIDENT
1508 S OGDEN DRIVE
LOS ANGELES CA 90019

Officer/Director/Trustee Two

JOY HOLLINGSWORTH
VICE PRESIDENT
PO BOX 22584
SEATTLE WA 22584

Officer/Director/Trustee Three

MARIO KIRKSEY
TRESURER
1536 N DORSEY LN
TEMPE AZ 85281

Officer/Director/Trustee Four

RA SYNCLAIR
SECRETARY
815 WOODEN BLVD
ORLANDO FL 32805

Organization’s website
Organization’s email DANIELLE.ADEFESO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 DANIELLE ADEFESO
Signature Title PRESIDENT
Signature Date 12/16/2019

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