FORM 1023-EZ for AMERICA FIJI SPORTS COMMISSION - AFSC

Field Data
EIN 47-5326702
Case Number EO-2016061-000112
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICA FIJI SPORTS COMMISSION - AFSC
Organization’s Mailing Address 5050 LAGUNA BLVD SUITE 112-4511
City ELK GROVE
State CA
ZIP 95758
Accounting period End 12
Primary contact name ROSE LANGENSIEPEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NARENDRA NARAYAN
CHIEF EXECUTIVE OFFICER
2310 LUNDY
SAN JOSE CA 95131

Officer/Director/Trustee Two

SATISH NARAYAN
SECRETARY
964 COLLINS CT
HAYWARD CA 94544

Officer/Director/Trustee Three

ROSE LANGENSIEPEN
CHIEF FINANCIAL OFFICER
5050 LAGUNA BLVD STE 112-4511
ELK GROVE CA 95758

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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