FORM 1023-EZ for ALLIANCE EASTLAKE JIU JITSU FOUNDATION

Field Data
EIN 82-1695448
Case Number EO-2017191-000354
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ALLIANCE EASTLAKE JIU JITSU FOUNDATION
Organization’s Mailing Address 821 KUHN DRIVE SUITE 110
City CHULA VISTA
State CA
ZIP 91914
Accounting period End 12
Primary contact name ELIAS GALLEGOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIAS GALLEGOS
DIRECTOR/PRESIDENT/CEO
572 SIPES CIRCLE
CHULA VISTA CA 91911

Officer/Director/Trustee Two

ROSARIO GALLEGOS
DIRECTOR/CFO
572 SIPES CIRCLE
CHULA VISTA CA 91911

Officer/Director/Trustee Three

ANGELA VAZQUEZ
DIRECTOR/SECRETARY
670 CRESCENT DRIVE
CHULA VISTA CA 91910

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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
Signature Title
Signature Date

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