FORM 1023-EZ for NORTHEAST ATTACK SOCCER CLUB INC

Field Data
EIN 23-2771085
Case Number EO-2017230-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST ATTACK SOCCER CLUB INC
Organization’s Mailing Address 160 SHADETREE RD
City SHAVERTOWN
State PA
ZIP 18708
Accounting period End 12
Primary contact name PETER A EVANOFSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE GINGO
TREASURER
160 SHADETREE RD
SHAVERTOWN PA 18708

Officer/Director/Trustee Two

DIANE BLODGETT
OFFICER
1247 RIDGE RD
PERKASIE PA 18944

Officer/Director/Trustee Three

GARY NORCONK
OFFICER
RR 3 BOX 178
HUNLOCK CREEK PA 18621

Officer/Director/Trustee Four

PETER EVANOFSKI
OFFICER
135 BRADER DR
WILKES BARRE PA 18705

Officer/Director/Trustee Five

DONNA BENSON
OFFICER
103 CHAPLIN LN
DALTON PA 18414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/1994
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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