FORM 1023-EZ for CHAMPIONSHIP PERFORMANCE ACADEMY

Field Data
EIN 84-1819681
Case Number EO-2019256-000063
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAMPIONSHIP PERFORMANCE ACADEMY
Organization’s Mailing Address 30910 NORTH 26TH AVENUE
City PHOENIX
State AZ
ZIP 85085
Accounting period End 12
Primary contact name THOMAS LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS LEWIS
CHAIRMAN OF THE BOARD
30910 NORTH 26TH AVENUE
PHOENIX AZ 85085

Officer/Director/Trustee Two

MIKE HURST
PRESIDENT
12508 EAST GOLD DUST AVENUE
SCOTTSDALE AZ 85259

Officer/Director/Trustee Three

MIKE FRANKS
DIRECTOR
10688 EAST BUTHERUS DRIVE
SCOTTSDALE AZ 85255

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THOMAS LEWIS
Signature Title CHAIRMAN OF THE BOARD
Signature Date 9/9/19

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