FORM 1023-EZ for MIDDLETON YOUTH SOCCER INC

Field Data
EIN 20-1103797
Case Number EO-2018183-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDDLETON YOUTH SOCCER INC
Organization’s Mailing Address 33 EAST MEADOW LANE
City MIDDLETON
State MA
ZIP 1949-1
Accounting period End 12
Primary contact name MICK BLOSSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICK BLOSSER
PRESIDENT/DIRECTOR
119 EAST ST
MIDDLETON MA 1949-1

Officer/Director/Trustee Two

CATHERINE DONNELLAN
TREASURER/DIRECTOR
17 NORTHWOODS RD
MIDDLETON MA 1949-1

Officer/Director/Trustee Three

KAREN NALESNISK
CLERK/DIRECTOR
3 BAYBERRY LANE
MIDDLETON MA 1949-1

Officer/Director/Trustee Four

TERRI GIBEAU
DIRECTOR
14 LAVOIE LANE
MIDDLETON MA 1949-1

Officer/Director/Trustee Five

MATTHEW ALEXANDER
DIRECTOR
1 MILL ST
MIDDLETON MA 1949-1

Organization’s website WWW.MIDDLETONSOCCER.COM
Organization’s email MYSBOD@MIDDLETONSOCCER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/95
Organization Incorporation State MA
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 Yes
Correctness Declaration Yes
Signature Name MICK BLOSSER
Signature Title PRESIDENT/DIRECTOR
Signature Date 6/28/18

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