FORM 1023-EZ for YSA CLAY DOGS

Field Data
EIN 87-1295939
Case Number EO-2021237-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YSA CLAY DOGS
Organization’s Mailing Address 24189 AVIATION AVENUE
City DAVIS
State CA
ZIP 95616
Accounting period End 12
Primary contact name MICHELLE PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE PEREZ
PRESIDENT
4805 VERENA LANE
SACRAMENTO CA 95835

Officer/Director/Trustee Two

WILLIAM HUBER
VICE PRESIDENT
1736 MICHIGAN STREET
FAIRFIELD CA 94533

Officer/Director/Trustee Three

DANIEL CAMARA
TREASURER
265 BELFORD PLACE
VACAVILLE CA 95687

Officer/Director/Trustee Four

IVONNE SCHAFER
SECRETARY
3421 SOPHIA WAY
SACRAMENTO CA 95820

Officer/Director/Trustee Five

RYAN MASON
DIRECTOR
64 SHORELINE CIRCLE
SACRAMENTO CA 95831

Organization’s website WWW.YOLOSPORTSMANASSOCIATION.COM
Organization’s email MICHELLE.PASCUAL@CUNE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 MICHELLE PEREZ
Signature Title PRESIDENT
Signature Date 8/23/2021

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