FORM 1023-EZ for KATEGORY 5 ELITE SPORTS

Field Data
EIN 81-2063917
Case Number EO-2016228-000373
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KATEGORY 5 ELITE SPORTS
Organization’s Mailing Address 4699 FOSSIL VISTA DRIVE 5201
City HALTOM
State TX
ZIP 76137
Accounting period End 12
Primary contact name AVERY GUICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AVERY GUICE
TURSTEE
4699 FOSSIL VISTA DRIVE 5201
HALTOM TX 76137

Officer/Director/Trustee Two

VICKISIA CREW-JONES
TRUSTEE
8609 MUIR DRIVE
FORT WORTH TX 76244

Officer/Director/Trustee Three

MIKE ESSEX
TRUSTEE
4620 SPRING VIEW 9107
FORT WORTH TX 76244

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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