FORM 1023-EZ for SOCCER SHEPHERDS NEW YORK INCORPORATED

Field Data
EIN 83-1269376
Case Number EO-2019122-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCCER SHEPHERDS NEW YORK INCORPORATED
Organization’s Mailing Address 170 CLAREMONT SUITE 10
City NEW YORK
State NY
ZIP 10027
Accounting period End 6
Primary contact name GINGER MCKNIGHT-CHAVERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM CAVERLY
PRESIDENT
170 CLAREMONT SUITE 10
NEW YORK NY 10027

Officer/Director/Trustee Two

JAMES VALENTINI
VICE PRESIDENT AND TREASURER
130 SHERIDAN AVENUE
HO HO KUS NJ 7423

Officer/Director/Trustee Three

TEODOLINDA BAROLINI
SECRETARY
450 RIVERSIDE DRIVE APT 91
NEW YORK NY 10027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/18
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 Yes
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 WILLIAM CAVERLY
Signature Title PRESIDENT
Signature Date 4/30/19

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