FORM 1023-EZ for ATHLETES IN MISSION SPORTS ACADEMY

Field Data
EIN 47-5662780
Case Number EO-2016004-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ATHLETES IN MISSION SPORTS ACADEMY
Organization’s Mailing Address 2031 CAROLYN STREET
City KINGSBURG
State CA
ZIP 93631-9998
Accounting period End 9
Primary contact name NATHAN AYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATHAN AYERS
DIRECTOR
2031 CAROLYN STREET
KINGSBURG CA 93631-9998

Officer/Director/Trustee Two

DAVID ENGLEBRIGHT
TREASURER
1212 WEST FLORA AVENUE
REEDLEY CA 93654-8777

Officer/Director/Trustee Three

KAREN HUEBERT-SANCHEZ
MEMBER BOARD OF DIRECTORS
608 EAST A STREET
HILLSBORO KS 67063-1634

Officer/Director/Trustee Four

DENNIS FAST
MEMBER BOARD OF DIRECTORS
237 WEST CARPENTER AVENUE
REEDLEY CA 93654-8777

Officer/Director/Trustee Five

KEN SAWATZKY
MEMBER BOARD OF DIRECTORS
42959 ROAD 88
DINUBA CA 93618-9382

Organization’s website N/A
Organization’s email NAYERS34@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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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