FORM 1023-EZ for SCV YOUTH SPORTS DEVELOPMENT

Field Data
EIN 84-2344196
Case Number EO-2019248-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SCV YOUTH SPORTS DEVELOPMENT
Organization’s Mailing Address 23317 BARFIELD DRIVE
City VALENCIA
State CA
ZIP 91354
Accounting period End 12
Primary contact name MICHAEL WERTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL WERTZ
PRESIDENT
23317 BARFIELD DRIVE
VALENCIA CA 91354

Officer/Director/Trustee Two

RUSTY BROOKE
CFO/TREASURER
PO BOX 801434
SANTA CLARITA CA 91380

Officer/Director/Trustee Three

STEVE DOWNS
SECRETARY
27302 SHELBURNE DRIVE
VALENCIA CA 91354

Organization’s website
Organization’s email SCVYOUTHSPORTSDEVELOPMENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
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: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 MICHAEL WERTZ
Signature Title PRESIDENT
Signature Date 9/3/19

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