FORM 1023-EZ for UNITED AS ONE

Field Data
EIN 85-3047909
Case Number EO-2020300-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED AS ONE
Organization’s Mailing Address 11 BROOKSIDE COURT
City NOVATO
State CA
ZIP 94947
Accounting period End 12
Primary contact name SCOTT DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT DAVIS
PRESIDENT/EXECUTIVE DIRECTOR
11 BROOKSIDE COURT
NOVATO CA 94947

Officer/Director/Trustee Two

CARSON DAVIS
YOUTH MARKETING DIRECTOR/COMMUNITY
11 BROOKSIDE COURT
NOVATO CA 94947

Officer/Director/Trustee Three

KAYLEE DAVIS
YOUTH ENGAGEMENT OFFICER
11 BROOKSIDE COURT
NOVATO CA 94947

Officer/Director/Trustee Four

ROXANNE DAVIS
TREASURER/COO
11 BROOKSIDE COURT
NOVATO CA 94947

Officer/Director/Trustee Five

MICHELE BROVELLI SMITH
SECRETARY
255 CORTE COLINA
NOVATO CA 94949

Organization’s website
Organization’s email SCOTT@STRICTLYHOOPS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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 SCOTT DAVIS
Signature Title PRESIDENT/EXECUTIVE DIRECTOR
Signature Date 10/22/2020

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