FORM 1023-EZ for GROOMING STUDENT ATHLETES

Field Data
EIN 84-3728229
Case Number EO-2019325-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GROOMING STUDENT ATHLETES
Organization’s Mailing Address 7065 W ANN RD STE 130 367
City LAS VEGAS
State NV
ZIP 89130
Accounting period End 12
Primary contact name SAM STEPHENSON IV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM STEPHENSON IV
PRESIDENT
5780 COWBOY FIDDLE CT
LAS VEGAS NV 89131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2019
Organization Incorporation State NV
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: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAM STEPHENSON IV
Signature Title PRESIDENT
Signature Date 11/19/2019

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