FORM 1023-EZ for SAN FRANCISCO BAY AREA JAPANESE SOCCER CLUB

Field Data
EIN 83-1945682
Case Number EO-2018320-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAN FRANCISCO BAY AREA JAPANESE SOCCER CLUB
Organization’s Mailing Address 1022 WHITEOAK DRIVE
City SAN JOSE
State CA
ZIP 95129-3156
Accounting period End 12
Primary contact name TOSHIYA OTANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOSHIYA OTANI
PRESIDENT AND CEO
1022 WHITEOAK DRIVE
SAN JOSE CA 95129-3156

Officer/Director/Trustee Two

TAKASHI ADACHI
SECRETARY
4145 BLACKFORD CIRCLE
SAN JOSE CA 95117-1855

Officer/Director/Trustee Three

KEITA YAMAMURA
TREASURER
310 CRESCENT VILLAGE CIRCLE 1485
SAN JOSE CA 95134-3012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 Yes
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 TOSHIYA OTANI
Signature Title PRESIDENT AND CEO
Signature Date 11/14/18

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