FORM 1023-EZ for SPORTFORM GLOBAL ACADEMY INC

Field Data
EIN 83-2157419
Case Number EO-2018306-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPORTFORM GLOBAL ACADEMY INC
Organization’s Mailing Address 975 A DETROIT AVE
City CONCORD
State CA
ZIP 94518
Accounting period End 12
Primary contact name JOHN ZIELINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN ZIELINSKI
CEO
975 A DETROIT AVE
CONCORD CA 94518

Officer/Director/Trustee Two

KAREN JOSEPHSON
TREASURER
975 A DETROIT AVE
CONCORD CA 94518

Officer/Director/Trustee Three

LAURETTTE LONGMIRE
SECRETARY
975 A DETROIT AVE
CONCORD CA 94518

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/14
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 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 JOHN ZIELINSKI
Signature Title CEO
Signature Date 10/30/18

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