FORM 1023-EZ for CENTRAL COAST BLACK KNIGHTS YOUTH FOOTBALL AND CHEER

Field Data
EIN 81-4388947
Case Number EO-2017006-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL COAST BLACK KNIGHTS YOUTH FOOTBALL AND CHEER
Organization’s Mailing Address 1093 BROADWAY AVE UNIT 905
City SEASIDE
State CA
ZIP 93955-4902
Accounting period End 12
Primary contact name ELISA HAVENS-STOKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISA HAVENS-STOKES
PRESIDENT
1093 BRADWAY AVE UNIT 905
SEASIDE CA 93955-4902

Officer/Director/Trustee Two

WARREN PITTS
VICE PRESIDENT
1418 YOSEMITE ST APT G
SEASIDE CA 93955-5128

Officer/Director/Trustee Three

RUTHIE SEGOVIA
SECRETARY
3060 WITTENMYER CT
MARINA CA 93933-4750

Officer/Director/Trustee Four

CHRIS WOOD
ATHLETIC DIRECTOR
53 JULIA AVE
SALINAS CA 93906-4108

Officer/Director/Trustee Five

VALERIE WOOD
TREASURER
53 JULIA AVE
SALINAS CA 93906-4108

Organization’s website BLACKNIGHTSFOOTBALL.WEEBLY.COM
Organization’s email CCBLACKNIGHTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football 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 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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