FORM 1023-EZ for CAPITAL CITY ADAPTIVE ATHLETES FOUNDATION

Field Data
EIN 81-3129631
Case Number EO-2016250-000051
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPITAL CITY ADAPTIVE ATHLETES FOUNDATION
Organization’s Mailing Address 1207 SPRUCE LANE
City DAVIS
State CA
ZIP 95616
Accounting period End 6
Primary contact name MIEKO CHAMBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIEKO CHAMBERS
CEO
1207 SPRUCE LANE
DAVIS CA 95616

Officer/Director/Trustee Two

ERIC HARRIS
VICE PRESIDENT
38 STILL BEACH COURT
SACRAMENTO CA 95831

Officer/Director/Trustee Three

KRISSANDRIA PULIS
SECRETARY
359 COUNTRY RIVER WAY
SACRAMENTO CA 95831

Officer/Director/Trustee Four

AARON RUTZ
CFO
4514 GRESHAM DRIVE
EL DORADO HILLS CA 95762

Officer/Director/Trustee Five

GERALD SHELTON
DIRECTOR
1865 IMPERIAL AVE
DAVIS CA 95616

Organization’s website CAPCITYAAF.ORG
Organization’s email CAPCITYAAF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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
Signature Title
Signature Date

Recently Saved Organizations

Click on the save icon from a search results or organization page.