FORM 1023-EZ for NEMESIS STUDENT ATHLETES

Field Data
EIN 85-2655593
Case Number EO-2020237-000752
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEMESIS STUDENT ATHLETES
Organization’s Mailing Address 221 N MINNEWAWA AVE
City CLOVIS
State CA
ZIP 93612
Accounting period End 12
Primary contact name RICHARD LAZARO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD ALONZO LAZARO
EXECUTIVE DIRECTOR
221 N MINNEWAWA AVE
CLOVIS CA 93612

Officer/Director/Trustee Two

BROOKE VIDMAR
SECRETARY
221 N MINNEWAWA AVE
CLOVIS CA 93612

Officer/Director/Trustee Three

KAYLEE SUE LAZARO
TREASURER
2211 N MINNEWAWA AVE
CLOVIS CA 93612

Organization’s website
Organization’s email RLAZARO7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2020
Organization Incorporation State CA
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: 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 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 RICHARD ALONZO LAZARO
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/22/2020

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