FORM 1023-EZ for MASCONOMET GIRLS SOCCER ASSOCIATIONINC

Field Data
EIN 38-3915811
Case Number EO-2015259-000344
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASCONOMET GIRLS SOCCER ASSOCIATIONINC
Organization’s Mailing Address 17 NORMANDY ROW
City TOPSFIELD
State MA
ZIP 01983
Accounting period End 12
Primary contact name JAMES N DECOULOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN REBLIN
PRESIDENT/DIRECTOR
17 NORMANDY ROW
TOPSFIELD MA 01983

Officer/Director/Trustee Two

SHERRY TIRELLI
TREASURER/DIRECTOR
9 EDGEWOOD ROAD
MIDDLETON MA 01949

Officer/Director/Trustee Three

STEPHANIE MOODY
CLERK/DIRECTOR
67 IPSWICH ROAD
BOXFORD MA 01921

Officer/Director/Trustee Four

KELLY SCARPONE
DIRECTOR
16 JONE ROAD
MIDDLETON MA 01940

Officer/Director/Trustee Five

MARY BETH SAMPSON
DIRECTOR
499 MAIN STREET
BOXFORD MA 01921

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2013
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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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