FORM 1023-EZ for CLAY SPORTS ACADEMY INC

Field Data
EIN 47-4480809
Case Number EO-2015355-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLAY SPORTS ACADEMY INC
Organization’s Mailing Address 1613 FAIRWAY RIDGE DRIVE
City FLEMING ISLAND
State FL
ZIP 32003
Accounting period End 12
Primary contact name SCOTT PORTER - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT PORTER
PRESIDENT / DIRECTOR
1613 FAIRWAY RIDGE DRIVE
FLEMING ISLAND FL 32003

Officer/Director/Trustee Two

KELLY PORTER
VICE PRESIDENT
1613 FAIRWAY RIDGE DRIVE
FLEMING ISLAND FL 32003

Officer/Director/Trustee Three

DOUGLAS PORTER
SECRETARY / DIRECTOR
2968 MAJESTIC OAKS LANE
GREEN COVE SPRINGS FL 32043

Organization’s website WWW.CSAWARHAWKS.COM
Organization’s email SCOTTMPORTER@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 Yes
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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