FORM 1023-EZ for NEXUS SPORTS FOUNDATION

Field Data
EIN 47-1120441
Case Number EO-2015159-000466
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEXUS SPORTS FOUNDATION
Organization’s Mailing Address PO BX 303
City SANTA CRUZ
State CA
ZIP 95061
Accounting period End 12
Primary contact name KEVIN FONTAINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN FONTAINE
DIRECTOR
15 WEST LAKE AVE 310
WATSONVILLE CA 95076

Officer/Director/Trustee Two

LYNNE CARYL
VICE CHAIR
1240 7TH AVE
SANTA CRUZ CA 95062

Officer/Director/Trustee Three

PAUL CHANDLER
BOARD MEMBER
224 MCMILLAN DR
SANTA CRUZ CA 95060

Officer/Director/Trustee Four

MICHAEL EISEN
TREASURER
406 BUNDY AVE
SAN JOSE CA 95117

Officer/Director/Trustee Five

BONNIE CHIN
SECRETARY
596 LEWIS AVE
YUBA CITY CA 95991

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2015
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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