FORM 1023-EZ for PRIME ATHLETIC PERFORMANCE

Field Data
EIN 86-3254756
Case Number EO-2021106-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRIME ATHLETIC PERFORMANCE
Organization’s Mailing Address 1131 BARCELONA DRIVE
City PACIFICA
State CA
ZIP 94044
Accounting period End 12
Primary contact name GEORGE RUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE RUSH
DIRECTOR
1131 BARCELONA DRIVE
PACIFICA CA 94044

Officer/Director/Trustee Two

GUSTAVO MANZANARES
DIRECTOR
287 SOUTH HILL BOULEVARD
SOUTH SAN FRANCISCO CA 94080

Organization’s website
Organization’s email GMRJPR@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2021
Organization Incorporation State CA
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: 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 No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GEORGE RUSH
Signature Title DIRECTOR
Signature Date 4/14/2021

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