FORM 1023-EZ for ELEPHANT SOCCER CLUB OF HARLEM

Field Data
EIN 81-0768235
Case Number EO-2016226-000021
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELEPHANT SOCCER CLUB OF HARLEM
Organization’s Mailing Address 133 W 112TH STREET SUITE 5A
City NEW YORK
State NY
ZIP 10026
Accounting period End 12
Primary contact name BRIGITTE KEZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAMA FOFANA
PRESIDENT
133 W 112TH STREET
NEW YORK NY 10026

Officer/Director/Trustee Two

BRIGITTE KEZA
SECRETARY
1867 ADAM CLAYTON POWELL BLVD
NEW YORK NY 10026

Officer/Director/Trustee Three

YOUSOUF FOFANA
TREASURY
279W 117TH STREET
NE YORK NY 10026

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State NY
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: No
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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