FORM 1023-EZ for BRATTLEBORO YOUTH SOCCER ASSOCIATION

Field Data
EIN 30-0362778
Case Number EO-2017219-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRATTLEBORO YOUTH SOCCER ASSOCIATION
Organization’s Mailing Address BOX 301
City BRATTLEBORO
State VT
ZIP 05302
Accounting period End 12
Primary contact name DAVID DUNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF BREWER
PRESIDENT
BOX 301
BRATTLEBORO VT 05302

Officer/Director/Trustee Two

PROVIDENCE ROHAN
VICE PRESIDENT
BOX 301
BRATTLEBORO VT 05302

Officer/Director/Trustee Three

JEN BOGART
SECRETARY
BOX 301
BRATTLEBORO VT 05302

Officer/Director/Trustee Four

DAVID MINER
TREASURER
BOX 301
BRATTLEBORO VT 05302

Organization’s website HTTP://WWW.BRATTLEBOROSTORM.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/1996
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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