FORM 1023-EZ for COASTAL AREA SOCCER ASSOCIATION

Field Data
EIN 47-4316305
Case Number EO-2020210-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COASTAL AREA SOCCER ASSOCIATION
Organization’s Mailing Address PO BOX 205
City SNEADS FERRY
State NC
ZIP 28460-0205
Accounting period End 12
Primary contact name CHRISTOPHER MALLERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN CHRISANT
PRESIDENT
123 SHOVELER COURT
SNEADS FERRY NC 28460

Officer/Director/Trustee Two

CHRISTOPHER MALLERY
TREASURER
902 GULF CHASE CT
SNEADS FERRY NC 28460

Officer/Director/Trustee Three

GLENN SCHOOT
VICE PRESIDENT
407 DERRICK DRIVE
SNEADS FERRY NC 28460

Organization’s website WWW.CASA-NC.COM
Organization’s email CASATREASURERNPO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2015
Organization Incorporation State NC
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTOPHER MALLERY
Signature Title TREASURER
Signature Date 7/23/2020
EIN 47-4316305
Case Number EO-2016165-000529
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COASTAL AREA SOCCER ASSOCIATION
Organization’s Mailing Address 1982 NC HWY 172/ PO BOX 205
City SNEADS FERRY
State NC
ZIP 28460-0205
Accounting period End 6
Primary contact name CHERI BRUKARDT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERI BRUKARDT
TREASURER
PO BOX 205
SNEADS FERRY NC 28460-0205

Officer/Director/Trustee Two

KRISTIN DOWNING
SECRETARY
PO BOX 205
SNEADS FERRY NC 28460-0205

Officer/Director/Trustee Three

MARTY RADEMACHER
DIRECTOR OF COACHING
PO BOX 205
SNEADS FERRY NC 28460-0205

Officer/Director/Trustee Four

ANDREW MARTIN
RISK MANAGEMENT
PO BOX 205
SNEADS FERRY NC 28460-0205

Officer/Director/Trustee Five

VICTORIA STEMBER
REGISTRAR
PO BOX 205
SNEADS FERRY NC 28460-0205

Organization’s website WWW,CASA-NC.ORG
Organization’s email CASATREASURER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2015
Organization Incorporation State NC
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
Signature Title
Signature Date

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