FORM 1023-EZ for JMS GOLD MEDAL SPORTS ACADEMY INC

Field Data
EIN 87-0898740
Case Number EO-2021211-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JMS GOLD MEDAL SPORTS ACADEMY INC
Organization’s Mailing Address 1250 WALES AVE
City GLENDORA
State CA
ZIP 91740
Accounting period End 12
Primary contact name HENRY MORANCHEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE WOKEN
SECRETARY
818 E LAUREL AVE
GLENDORA CA 91741

Officer/Director/Trustee Two

JULIE SMITH
PRESIDENT & DIRECTOR
1250 WALES AVE
GLENDORA CA 91740

Officer/Director/Trustee Three

JULIE KLINE
TREASURER
7175 MONTEREY ST
LA VERNE CA 91750

Officer/Director/Trustee Four

STACEY MCLLROY
OFFICER
70 HAWAII DT
ALISO VIEJO CA 92656

Officer/Director/Trustee Five

MOLLEE WATERS
BOARD OF DIRECTOR
178 ELDER AVE
IMPERIAL BEACH CA 91932

Organization’s website
Organization’s email JMSMITH1544@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 JULIE SMITH
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/28/2021

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