FORM 1023-EZ for NORTH PENN SMALL SIDED SOCCER

Field Data
EIN 23-2745640
Case Number EO-2019119-000064
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH PENN SMALL SIDED SOCCER
Organization’s Mailing Address PO BOX 1371
City KULPSVILLE
State PA
ZIP 19443-1371
Accounting period End 12
Primary contact name PETER AFFLERBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER AFFLERBACH
PRESIDENT
103 HARVEST GLEN DRIVE
HARLEYSVILLE PA 19438

Officer/Director/Trustee Two

JANINE AFFLERBACH
TREASURER
103 HARVEST GLEN DRIVE
HARLEYSVILLE PA 19438

Officer/Director/Trustee Three

BETHANN KOZEMPEL
REGISTRAR
511 E 5TH ST
LANSDALE PA 19446

Organization’s website WWW.NORTHPENNSOCCER.ORG
Organization’s email NORTHPENNSOCCER@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/94
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: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name PETER AFFLERBACH
Signature Title PRESIDENT
Signature Date 4/25/19

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