FORM 1023-EZ for XOOM SOCCER INC

Field Data
EIN 81-3114403
Case Number EO-2018281-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name XOOM SOCCER INC
Organization’s Mailing Address 2141 CROTONA AVE APT 3B
City BRONX
State NY
ZIP 10457
Accounting period End 12
Primary contact name SHAWN FALCONER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN FALCONER
PRESIDENT
2141 CROTONA AVE APT3B
BRONX NY 10457

Officer/Director/Trustee Two

BEVERLY CHANNER
FINANCIAL SECRETARY
665 EAST 181ST STREET APT 3D
BRONX NY 10457

Officer/Director/Trustee Three

ROMARIO FALCONER
1ST VICE PRESIDENT
2141 CROTONA AVE APT 3B
BRONX NY 10457

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/16
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 SHAWN FALCONER
Signature Title PRESIDENT
Signature Date 10/3/18

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