FORM 1023-EZ for CROSSROADS TIGERS YOUTH ATLETICS

Field Data
EIN 83-3482985
Case Number EO-2019052-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSROADS TIGERS YOUTH ATLETICS
Organization’s Mailing Address 10729 STAGG ST
City SUN VALLEY
State CA
ZIP 91352-4619
Accounting period End 12
Primary contact name JOSE FUENTES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE FUENTES
PRESIDENT
10729 STAGG ST
SUN VALLEY CA 91352-4619

Officer/Director/Trustee Two

YADIRA RUIZ
TREASURER
10729 STAGG ST
SUN VALLEY CA 91352-4619

Officer/Director/Trustee Three

PAT GLAZE
VICE PRESIDENT
10729 STAGG ST
SUN VALLEY CA 91352-4619

Officer/Director/Trustee Four

JENNIFER WITMER
SECRETARY
10729 STAGG ST
SUN VALLEY CA 91352-4619

Officer/Director/Trustee Five

JOHNY PAEZ
DIRECTOR
10729 STAGG ST
SUN VALLEY CA 91352-4619

Organization’s website CROSSROADSTIGERSYA.ORG
Organization’s email CROSSROADSTIGERSYA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 JOSE FUENTES
Signature Title PRESIDENT
Signature Date 2/19/19

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