FORM 1023-EZ for BARRE AMATEUR SOCCER ASSOCIATION

Field Data
EIN 47-4962843
Case Number EO-2015293-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARRE AMATEUR SOCCER ASSOCIATION
Organization’s Mailing Address 70 COBBLEHILL MEADOWS
City BARRE
State VT
ZIP 05641
Accounting period End 12
Primary contact name DAVID BULLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID BULLIS
PRESIDENT
70 COBBLEHILL MEADOWS
BARRE VT 05641

Officer/Director/Trustee Two

ROBERT MORAN
TREASURE
27 VALLEY VIEW CIRCLE
BARRE VT 05641

Officer/Director/Trustee Three

TIM SARGENT
CHAIR PERSON
175 DONAHUE RD
BARRE VT 05641

Officer/Director/Trustee Four

PETER SAKASH
OFFICER
RT 100
STOWE VT 05662

Officer/Director/Trustee Five

WILLIAM DURBROW
OFFICER
1000 JAIL HOUSE RD
WASHINGTON VT 05675

Organization’s website WWW.ETEAMZ.COM/BASAVT
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/1991
Organization Incorporation State VT
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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