FORM 1023-EZ for HEALDSBURG YOUTH SOCCER ASSOCIATION
| Field | Data |
|---|---|
| EIN | 82-5267583 |
| Case Number | EO-2018169-000751 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HEALDSBURG YOUTH SOCCER ASSOCIATION |
| Organization’s Mailing Address | 132 MILL STREET SUITE 204 |
| City | HEALDSBURG |
| State | CA |
| ZIP | 95448 |
| Accounting period End | 12 |
| Primary contact name | PETER MORK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TOM MCGINTY
PRESIDENT
1674 STIRRUP LOOP
HEALDSBURG CA 95448
Officer/Director/Trustee Two
BRETT CHAIREZ
VICE-PRESIDENT
8037 DRY CREEK ROAD
GEYSERVILLE CA 95441
Officer/Director/Trustee Three
JENNIFER THRELFALL
SECRETARY
216 HAYDON STREET
HEALDSBURG CA 95448
Officer/Director/Trustee Four
PETER MORK
TREASURER/REGISTRAR
910 MAXWELL STREET
HEALDSBURG CA 95448
| Organization’s website | NA |
|---|---|
| Organization’s email | HEALDSBURGYOUTHSOCCER@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/13/18 |
| Organization Incorporation State | CA |
| 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: 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 | PETER MORK |
| Signature Title | TREASURER/REGISTRAR |
| Signature Date | 6/14/18 |
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