FORM 1023-EZ for SISU DARKHORSE

Field Data
EIN 87-1077927
Case Number EO-2021252-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SISU DARKHORSE
Organization’s Mailing Address 69 PENNINGTON ROAD
City NEW BRUNSWICK
State NJ
ZIP 08901
Accounting period End 12
Primary contact name JOVAN MERCADO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALON REVAN
TRUSTEE
802 AZALEA DRIVE
NORTH BRUNSWICK NJ 08902

Officer/Director/Trustee Two

JOVAN MERCADO
TRUSTEE
306 SOUTH 7TH STREET APT 2
MARQUETTE MI 49855

Officer/Director/Trustee Three

FARYD DAZA
TRUSTEE
109 SAND HILLS ROAD
MONMOUTH JUNCTION NJ 08852

Organization’s website
Organization’s email SISUDARKHORSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
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 ALON REVAN
Signature Title TRUSTEE
Signature Date 9/7/2021

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