FORM 1023-EZ for HIGH LEVEL SPORTS ACADEMY

Field Data
EIN 47-1988599
Case Number EO-2014279-000381
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGH LEVEL SPORTS ACADEMY
Organization’s Mailing Address 814 IRIS AVE
City SUNNYVALE
State CA
ZIP 94086
Accounting period End 12
Primary contact name GEORGE LAMPTEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEORGE LAMPTEY
PRESIDENT/CEO
814 IRIS AVE
SUNNYVALE CA 94086

Officer/Director/Trustee Two

JANNE LAMPTEY
TREASURER
333 W SANTA CLARA ST STE 750
SAN JOSE CA 95113

Officer/Director/Trustee Three

RACHEL LAMPTEY
SECRETARY
814 IRIS AVE
SUNNYVALE CA 94086

Officer/Director/Trustee Four

ERNEST EZEOHA
CHAIRMAN
23 TWELVEOAK HILL DRIVE
SANTA CLARA CA 95054

Officer/Director/Trustee Five

STEVE LALOND
VICE CHAIRMAN
3080 OLCOTT ST STE 105D
SANTA CALRA CA 95054

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
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: 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 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 Yes
One Third Support Gifts No
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

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