FORM 1023-EZ for NORTHSIDE YOUTH ATHLETIC ASSOCIATION

Field Data
EIN 45-2705685
Case Number EO-2018071-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHSIDE YOUTH ATHLETIC ASSOCIATION
Organization’s Mailing Address 3818 MERLE STREET
City PITTSBURGH
State PA
ZIP 15204
Accounting period End 12
Primary contact name DELMESHA RICHARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENE GOODWINE
FOUNDER EXECUTIVE DIRECTOR
1404 STEUBEN STREET
PITTSBURGH PA 15220

Officer/Director/Trustee Two

MICHAEL KNIGHT
FOUNDER CHIEF FINANCIAL OFFICER
6926 BISHOP STREET
PITTSBURGH PA 15206

Officer/Director/Trustee Three

JERROD PARKS
CHAIRMAN OF BOARD OF DIRECTORS
219 WOODLWAN AVENUE NO 22
PITTSBURGH PA 15202

Officer/Director/Trustee Four

JOSHUA BOOZ
BOARD MEMBER
16 WYNN AVENUE
PITTSBURGH PA 15205

Officer/Director/Trustee Five

DELMESHA RICHARDS
BOARD MEMBER
3818 MERLE STREET
PITTSBURGH PA 15204

Organization’s website WWW.NSYAA.ORG
Organization’s email DRICHARDS@NSYAA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/11
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DELMESHA RICHARDS
Signature Title BOARD MEMBER
Signature Date 3/9/18

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