FORM 1023-EZ for CHAMPIONS YOUTH DEVELOPMENT

Field Data
EIN 81-4393721
Case Number EO-2016319-000624
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPIONS YOUTH DEVELOPMENT
Organization’s Mailing Address 3500 JIMMY JOHNSON BLVD
City PORT ARTHUR
State TX
ZIP 77642
Accounting period End 12
Primary contact name ED CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ED CAMPBELL
PRESIDENT, DIRECTOR
995 STACEWOOD
BEAUMONT TX 77706

Officer/Director/Trustee Two

EMANUEL PRESTON
SECRETARY, DIRECTOR
4140 ROYAL MEADOWS CIR
PORT ARTHUR TX 77642

Officer/Director/Trustee Three

BRAD BAILEY
TREASURER, DIRECTOR
6198 JACKSON
GROVES TX 77619

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2016
Organization Incorporation State TX
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: 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
Signature Title
Signature Date

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