FORM 1023-EZ for TSA ACADEMY A NJ NONPROFIT CORPORATION

Field Data
EIN 83-3342400
Case Number EO-2021104-000778
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TSA ACADEMY A NJ NONPROFIT CORPORATION
Organization’s Mailing Address 217 W 16TH STREET 2ND FLOOR
City LINDEN
State NJ
ZIP 07036
Accounting period End 12
Primary contact name DAVID MASANA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MASANA
PRESIDENT
217 W 16TH STREET 2ND FL
LINDEN NJ 07036

Officer/Director/Trustee Two

POL BUSTO BLASCO
SECRETARY
217 W 16TH STREET 2ND FL
LINDEN NJ 07036

Officer/Director/Trustee Three

GUILLERMO TORRAS
TREASURER
217 W 16TH STREET 2ND FL
LINDEN NJ 07036

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2019
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID MASANA
Signature Title PRESIDENT
Signature Date 4/12/2021

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