FORM 1023-EZ for FUTBL GAME CHANGER

Field Data
EIN 85-3619345
Case Number EO-2020307-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUTBL GAME CHANGER
Organization’s Mailing Address 1975 ERIN WAY
City GLENDALE
State CA
ZIP 91206-1007
Accounting period End 12
Primary contact name SHEIMA BERENJI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEIMA BERENJI
CEO
1975 ERIN WAY
GLENDALE CA 91206-1007

Officer/Director/Trustee Two

ANNALY GALLEGOS
CFO
1975 ERIN WAY
GLENDALE CA 91206-1007

Officer/Director/Trustee Three

ANNALY GALLEGOS
SECRETARY
1975 ERIN WAY
GLENDALE CA 91206-1007

Organization’s website
Organization’s email SBELITETRAINING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2020
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 No
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 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 SHEIMA BERENJI
Signature Title CEO
Signature Date 10/29/2020

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