FORM 1023-EZ for NORTH EAST BAY SPORTS OFFICIALS ASSOCIATION

Field Data
EIN 84-4062149
Case Number EO-2019360-000367
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH EAST BAY SPORTS OFFICIALS ASSOCIATION
Organization’s Mailing Address 1200 LOS RIOS DRIVE
City CARMICHAEL
State CA
ZIP 95608
Accounting period End 12
Primary contact name MARK PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC NAKAGAWA
PRESIDENT
1200 LOS RIOS DRIVE
CARMICHAEL CA 95608

Officer/Director/Trustee Two

MARK BELLER
DIRECTOR
3037 STEPHEN DRIVE
EL SOBRANTE CA 94803

Officer/Director/Trustee Three

MIKE HELLER
DIRECTOR
4000 INNOVATOR DRIVE NO 6102
SACRAMENTO CA 95834

Officer/Director/Trustee Four

SEAN LILE
DIRECTOR
1108 VALLEY OAK COURT
PETALUMA CA 94954

Officer/Director/Trustee Five

MARK PETERSON
DIRECTOR
1300 E SHAW AVE SUITE 149
FRESNO CA 93710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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 MARK PETERSON
Signature Title DIRECTOR
Signature Date 12/23/2019

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