FORM 1023-EZ for SOCCER 5 USA FOUNDATION INC

Field Data
EIN 47-4447686
Case Number EO-2021081-000871
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCCER 5 USA FOUNDATION INC
Organization’s Mailing Address 8011 SW 127TH AVE
City MIAMI
State FL
ZIP 33183
Accounting period End 12
Primary contact name SCOTT GEORGESON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT GEORGESON
DIRECTOR
8360 SW 157TH STREET
PALMETTO BAY FL 33157

Officer/Director/Trustee Two

ALAN GEORGESON
DIRECTOR
4648 ASHLEY VIEW LANE
CHARLESTON SC 29405

Officer/Director/Trustee Three

DANIELA LUJAN
DIRECTOR
8011 SW 127TH AVENUE
MIAMI FL 33183

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State FL
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT GEORGESON
Signature Title DIRECTOR
Signature Date 1/26/2021
EIN 47-4447686
Case Number EO-2015219-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCCER 5 USA FOUNDATION INC
Organization’s Mailing Address 8011 SW 127TH AVE
City MIAMI
State FL
ZIP 33183
Accounting period End 12
Primary contact name SCOTT GEORGESON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT GEORGESON
DIRECTOR
905 BRICKELL BAY DRIVE 1830
MIAMI FL 33131

Officer/Director/Trustee Two

SHARON GEORGESON
DIRECTOR
905 BRICKELL BAY DRIVE 1830
MIAMI FL 33131

Officer/Director/Trustee Three

SAMUEL A PERSAUD
DIRECTOR
9100 SOUTH DADELAND BLVD SUITE 400
MIAMI FL 33156

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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