FORM 1023-EZ for YUMA PREMIER SOCCER ACADEMY

Field Data
EIN 81-1707092
Case Number EO-2016162-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YUMA PREMIER SOCCER ACADEMY
Organization’s Mailing Address 3377 S 16TH AVENUE
City YUMA
State AZ
ZIP 85364
Accounting period End 7
Primary contact name DAWN DRIEDGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAWN DRIEDGER
PRESIDENT
5144 E MESA VIEW STREET
YUMA AZ 85365

Officer/Director/Trustee Two

RUBEN PEREZ
VICE PRESIDENT
3377 S 16TH AVENUE
YUMA AZ 85364

Officer/Director/Trustee Three

LETICIA ZUNIGA
SECRETARY
4848 W 29TH LANE
YUMA AZ 85364

Officer/Director/Trustee Four

RYAN ALLEN
TREASURER
2879 S 48TH DRIVE
YUMA AZ 85364

Officer/Director/Trustee Five

JORGE FRANCISCO VELEZ
DIRECTOR OF ASSOCIATE MEMBERS
1577 S 34TH AVENUE
YUMA AZ 85364

Organization’s website
Organization’s email YPSASOCCER@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2016
Organization Incorporation State AZ
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 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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