FORM 1023-EZ for SOCCER THERAPY NYC

Field Data
EIN 85-3006131
Case Number EO-2020307-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOCCER THERAPY NYC
Organization’s Mailing Address 269 4TH STREET
City JERSEY CITY
State NJ
ZIP 07302
Accounting period End 12
Primary contact name KEVIN OROZCO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN OROZCO
FOUNDER, CEO
269 4TH STREET
JERSEY CITY NJ 07302

Officer/Director/Trustee Two

STEPHANIE OROZCO
TRUSTEE
50 REGENT STREET UNIT 1012
JERSEY CITY NJ 07302

Officer/Director/Trustee Three

ERIKA Y ARIAS
TRUSTEE
69 MYERS AVENUE
HICKSVILLE NY 11801

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 No
Correctness Declaration Yes
Signature Name KEVIN OROZCO
Signature Title FOUNDER, CEO
Signature Date 10/29/2020

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