FORM 1023-EZ for SOUTH BAY YOUTH ACHIEVEMENT

Field Data
EIN 82-1745703
Case Number EO-2017160-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH BAY YOUTH ACHIEVEMENT
Organization’s Mailing Address 3386 SAN MARDO AVE
City SAN JOSE
State CA
ZIP 95127
Accounting period End 12
Primary contact name ED GAINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ED GAINES
PRESIDENT
3386 SAN MARDO AVE
SAN JOSE CA 95127

Officer/Director/Trustee Two

DASHIELL GAINES
SEC/TREASURER
3386 SAN MARDO AVE
SAN JOSE CA 95127

Officer/Director/Trustee Three

ELVIN HERRERA
VICE PRESIDENT
2873 CICERO WAY
SAN JOSE CA 95148

Officer/Director/Trustee Four

LESLIE JENKINS
ADMINISTRATOR
4130 PIPER DRIVE 16
SAN JOSE CA 95117

Organization’s website SOUTHBAYYOUTHATHLECTICS.COM
Organization’s email ED.SBYA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
Organization’s purpose Charitable: No
Religious: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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