FORM 1023-EZ for CENTRAL VALLEY YOUTH SPORTS

Field Data
EIN 36-4910205
Case Number EO-2018309-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL VALLEY YOUTH SPORTS
Organization’s Mailing Address 55302 MTN OAK DR
City BIG CREEK
State CA
ZIP 93605
Accounting period End 12
Primary contact name MALISSA ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNY ROSE
PRESIDENT
55302 MTN OAK DR
BIG CREEK CA 93605

Officer/Director/Trustee Two

DEAN MERRILL
VICE PRESIDENT
998 WHITMORE AVE
CLOVIS CA 93619

Officer/Director/Trustee Three

NICOLE GEORGES
SECRETARY
2911 MORRIS
CLOVIS CA 93611

Officer/Director/Trustee Four

MALISSA ROSE
TREASURER
55302 MTN OAK DR
BIG CREEK CA 93605

Organization’s website
Organization’s email CENVALLEYYOUTHSPORTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, 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 MALISSA ROSE
Signature Title TREASURER
Signature Date 11/2/18

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