FORM 1023-EZ for YOUNG ADULIS SEATTLE SOCCER

Field Data
EIN 82-0673571
Case Number EO-2017193-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUNG ADULIS SEATTLE SOCCER
Organization’s Mailing Address 14361 19TH AVE NE
City SEATTLE
State WA
ZIP 98125
Accounting period End 12
Primary contact name TEDROS TEKLEMICHAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIRACH SEBHAT
PRESIDENT
210 5TH ST SW
EVERETT WA 98204

Officer/Director/Trustee Two

MICHAEL WOLDEAB
BOARD MEMBER
2011 209TH PL SW
LYNNWOOD WA 98036

Officer/Director/Trustee Three

TEDROS TEKLEMICHAEL
BOARD MEMBER
14361 19TH AVE NE
SEATTLE WA 98125

Organization’s website WWW.YOUNGADULIS.ORG
Organization’s email YOUNGADULIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2017
Organization Incorporation State WA
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 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
Signature Title
Signature Date

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