FORM 1023-EZ for PREMIER YOUTH SOCCER FOUNDATION BY DALIA

Field Data
EIN 82-2715792
Case Number EO-2017310-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PREMIER YOUTH SOCCER FOUNDATION BY DALIA
Organization’s Mailing Address 19421 LULL STREET
City RESEDA
State CA
ZIP 91335
Accounting period End 12
Primary contact name DOROTHY JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALIA GOMEZ
PRESIDENT
19421 LULL STREET
RESEDA CA 91335

Officer/Director/Trustee Two

NATHALIE CEJA
SECRETARY
19421 LULL STREET
RESEDA CA 91335

Officer/Director/Trustee Three

GUILLERMO CEJA
TREASURER
19421 LULL STREET
RESEDA CA 91335

Officer/Director/Trustee Four

PATRICIA OCHOA
DIRECTOR
19421 LULL STREET
RESEDA CA 91335

Officer/Director/Trustee Five

PATRICIA LOAIZA
DIRECTOR
19421 LULL STREET
RESEDA CA 91335

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2017
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: No
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
Signature Title
Signature Date

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