FORM 1023-EZ for TEAM DIAZ TENNIS USA

Field Data
EIN 46-1524289
Case Number EO-2014248-000455
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM DIAZ TENNIS USA
Organization’s Mailing Address 6833 COLORADO AVENUE
City LA MESA
State CA
ZIP 91942
Accounting period End 12
Primary contact name ANITA WEEMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESUS DIAZ
PRESIDENT/CEO
6833 COLORADO AVENUE
LA MESA CA 91942

Officer/Director/Trustee Two

ANITA WEEMS
VICE PRESIDENT
2837 ECHO VALLEY RD
JAMUL CA 91935

Officer/Director/Trustee Three

JERRY SEGAWA
TREASURER
1864 NATIONAL AVE
SAN DIEGO CA 92113

Officer/Director/Trustee Four

KIMBERLY TRAN
SECRETARY
7225 LEMONWOOD
LEMON GROVE CA 91945

Officer/Director/Trustee Five

MARIA DIAZ
BOARD MEMBER
6833 COLORADO AVENUE
LA MESA CA 91942

Organization’s website TEAMDIAZTENNISUSA.COM
Organization’s email TEAMDIAZTENNISUSA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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