FORM 1023-EZ for CONNECTICUT ADULT SOCCER LEAGUE INC

Field Data
EIN 47-2071531
Case Number EO-2015166-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONNECTICUT ADULT SOCCER LEAGUE INC
Organization’s Mailing Address 195 CHURCH STREET FLOOR 13
City NEW HAVEN
State CT
ZIP 06510-2009
Accounting period End 12
Primary contact name JAMES C GRAHAM PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES GRAHAM
PRESIDENT / DIRECTOR
49 TUMBLEBROOK ROAD
WOODBRIDGE CT 06525-2533

Officer/Director/Trustee Two

CARL JAMES
1ST VICE PRESIDENT / DIRECTOR
77 SWARTHMORE STREET
HAMDEN CT 06517-1916

Officer/Director/Trustee Three

SALAH AL BAKRI
2ND VICE PRESIDENT / DIRECTOR
335 CAPTAIN THOMAS BLVD
WEST HAVEN CT 06516-5853

Officer/Director/Trustee Four

CHAD ODEFEY
SECRETARY / DIRECTOR
95 CHAPEL STREET
STRATFORD CT 06614-1641

Officer/Director/Trustee Five

DAVID GINDEK
TREASURER / DIRECTOR
21 FARM VIEW ROAD
MONROE CT 06468-1615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2014
Organization Incorporation State CT
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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