FORM 1023-EZ for X-FACTOR ATHLETICS

Field Data
EIN 81-1782444
Case Number EO-2016187-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name X-FACTOR ATHLETICS
Organization’s Mailing Address 4611 W LODGE DR
City LAVEEN
State AZ
ZIP 85339
Accounting period End 12
Primary contact name MAJOR PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAJOR PERRY
CEO/PRESIDENT
4611 W LODGE DR
LAVEEN AZ 85339

Officer/Director/Trustee Two

ADRIENNE PERRY
COO
4611 W LODGE DR
LAVEEN AZ 85339

Officer/Director/Trustee Three

CLIFFORD MANN
VP/DIRECTOR OF ATHLETICS COACHING
3728 E MORNING STAR LN
LAVEEN AZ 85339

Officer/Director/Trustee Four

HEIDI MANN
CIO
3728 E MORNING STAR LN
LAVEEN AZ 85339

Officer/Director/Trustee Five

MONICA GARCIA
TREASURER
7811 S 20TH AVE
PHOENIX AZ 85338

Organization’s website WWW.XFACTORATHLETICS.COM
Organization’s email INFO@XFACTORATHLETICS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
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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