FORM 1023-EZ for ELIZABETH FORWARD SOCCER ASSOCIATION

Field Data
EIN 47-5217660
Case Number EO-2016021-000578
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIZABETH FORWARD SOCCER ASSOCIATION
Organization’s Mailing Address PO BOX 118
City GREENOCK
State PA
ZIP 15047
Accounting period End 6
Primary contact name BOBBIE GREENAWALT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOBBIE GREENAWALT
PRESIDENT
4668 WILLIAMSPORT ROAD
MONONGAHELA PA 15063

Officer/Director/Trustee Two

AL CHLYSTEK
VICE PRESIDENT
1500 NORTH RANDOLPH DRIVE
JEFFERSON HILLS PA 15025

Officer/Director/Trustee Three

TAMMY ULM
TREASURER
543 TWELE ROAD
GREENOCK PA 15047

Officer/Director/Trustee Four

AMBER BLAIR
SECRETARY
418 CEDAR DRIVE
ELIZABETH PA 15037

Officer/Director/Trustee Five

CHRIS MICHAELS
REGISTRAR
1 THOROBRED LANE
MONONGAHELA PA 15063

Organization’s website
Organization’s email EFSASOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2015
Organization Incorporation State PA
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: 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
Signature Title
Signature Date

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