FORM 1023-EZ for COMMUNITY SPORTS AND FITNESS FOUNDATION

Field Data
EIN 47-3105405
Case Number EO-2015054-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY SPORTS AND FITNESS FOUNDATION
Organization’s Mailing Address 1108 VILLA AVENUE APT 118A
City CLOVIS
State CA
ZIP 93612
Accounting period End 6
Primary contact name EMILY HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANTONIO VALTIERRA
CHAIR-PERSON
758 E BULLARD AVENUE SUITE 102
FRESNO CA 93710

Officer/Director/Trustee Two

DIEGO HARO
VICE-CHAIRPERSON
701 OLIVE STREET
SELMA CA 93622

Officer/Director/Trustee Three

EMILY HERNANDEZ
TREASURER
2148 S MAPLE AVENUE
FRESNO CA 93725

Officer/Director/Trustee Four

MARIA GARCIA
SECRETARY
4414 E SIMPSON AVENUE
FRESNO CA 93704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 Yes
One Third Support Gifts No
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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