FORM 1023-EZ for ULTIMATE ATHLETE

Field Data
EIN 81-5360490
Case Number EO-2017062-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ULTIMATE ATHLETE
Organization’s Mailing Address 12220 HIGHWAY 249
City HOUSTON
State TX
ZIP 77086
Accounting period End 12
Primary contact name LAN NGUYEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAN NGUYEN
PRESIDENT, DIRECTOR
PO BOX 11145
SPRING TX 77391

Officer/Director/Trustee Two

PETER ALLEN
SECRETARY, DIRECTOR
11120 HIGHWAY 249
HOUSTON TX 77086

Officer/Director/Trustee Three

ABEL CORTEZ II
TREASURER, DIRECTOR
7410 WIDMORE CT
SPRING TX 77379

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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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