FORM 1023-EZ for CHAMPIONS 4 CHRIST

Field Data
EIN 83-2384700
Case Number EO-2018325-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAMPIONS 4 CHRIST
Organization’s Mailing Address 3275 POPPY HILLS LANE
City ENCINITAS
State CA
ZIP 92024
Accounting period End 12
Primary contact name QUENTIN BLACKFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUENTIN BLACKFORD
PRESIDENT/DIRECTOR
3275 POPPY HILLS LANE
ENCINITAS CA 92024

Officer/Director/Trustee Two

MICAH YOUNG
DIRECTOR/TREASURER
3275 POPPY HILLS LANE
ENCINITAS CA 92024

Officer/Director/Trustee Three

TED SHULTS
DIRECTOR/SECRETARY
3275 POPPY HILLS LANE
ENCINITAS CA 92024

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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 QUENTIN BLACKFORD
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/19/18

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