FORM 1023-EZ for CLB YOUTH SPORTS NFP

Field Data
EIN 85-3761937
Case Number EO-2021037-000009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLB YOUTH SPORTS NFP
Organization’s Mailing Address 2537 N LAWNDALE
City CHICAGO
State IL
ZIP 60647
Accounting period End 12
Primary contact name JOSE RIVERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE RIVERA
PRESIDENT
2537 N LAWNDALE
CHICAGO IL 60647

Officer/Director/Trustee Two

RONALD JOHN FRAZIER
BOARD MEMBER
447 LINDEN LANE
ANTIOCH IL 60002

Officer/Director/Trustee Three

CARLOS GARCIA
BOARD MEMBER
2237 N MULLIGAN
CHICAGO IL 60639

Officer/Director/Trustee Four

JOSE CANDIA
BOARD MEMBER
3817 N NARRIGANSETT
CHICAGO IL 60634

Officer/Director/Trustee Five

CINTHYA VENTURA
BOARD MEMBER
2039 N KEDVALE
CHICAGO IL 60639

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSE RIVERA
Signature Title PRESIDENT
Signature Date 12/17/2020

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