FORM 1023-EZ for NATIONAL STUDENT ATHLETIC ASSOCIATION

Field Data
EIN 47-1458610
Case Number EO-2014258-000521
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL STUDENT ATHLETIC ASSOCIATION
Organization’s Mailing Address 2220 E AIRE LIBRE AVENUE
City PHOENIX
State AZ
ZIP 85022
Accounting period End 12
Primary contact name STEVEN PADGETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN PADGETT
PRESIDENT
2220 E AIRE LIBRE AVENUE
PHOENIX AZ 85022

Officer/Director/Trustee Two

BRIAN SHELLEY
VICE PRESIDENT
17802 W VOLTAIRE STREET
SURPRISE AZ 85388

Officer/Director/Trustee Three

PAUL WILLIAMS
SECRETARY
1022 E VILLAGE CIRCLE DRIVE
PHOENIX AZ 85022

Organization’s website WWW.NSAA-AZ.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2014
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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

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