FORM 1023-EZ for FOUNDATION SOCCER ADADEMY INC

Field Data
EIN 82-3752206
Case Number EO-2018025-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION SOCCER ADADEMY INC
Organization’s Mailing Address 100 HILLSIDE DR APT D6
City MIDDLETOWN
State NY
ZIP 10941
Accounting period End 12
Primary contact name DANIEL STAFFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CORDEIRO SR
DIRECTOR
88 WOODLAND ROAD
HIGHLAND MILLS NY 10930

Officer/Director/Trustee Two

JAMES CORDEIRO JR
DIRECTOR
88 WOODLAND ROAD
HIGHLAND MILLS NY 10930

Officer/Director/Trustee Three

CHERYL CORDEIRO
DIRECTOR
88 WOODLAND ROAD
HIGHLAND MILLS NY 10930

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/17
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: 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 JAMES CORDEIRO SR
Signature Title DIRECTOR
Signature Date 1/23/18

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