FORM 1023-EZ for FLAGLER YOUTH ATHLETIC ASSOCIATIONINC

Field Data
EIN 47-2462450
Case Number EO-2015002-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLAGLER YOUTH ATHLETIC ASSOCIATIONINC
Organization’s Mailing Address PO BOX 350144
City PALM COAST
State FL
ZIP 32135
Accounting period End 12
Primary contact name JESSICA KASCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSICA KASCH
PRESIDENT
5 KARANDA COURT
PALM COAST FL 32164

Officer/Director/Trustee Two

ROBERT ASBIL
WAYS MEANS DIRECTOR
9 LINCOLN PLACE
PALM COAST FL 32137

Officer/Director/Trustee Three

CHERYL HORNSTEIN
CHEER COORDINATOR
13 BEAUFORD LANE
PALM COAST FL 32137

Officer/Director/Trustee Four

JAMES PIGNINELLI
PROGRAM DIRECTOR
17 EVANS DRIVE
PALM COAST FL 32164

Officer/Director/Trustee Five

PATRICK BUCKLEY
FOOTBALL COMMISSIONER
26 SEVEN WONDERS TRAIL
PALM COAST FL 32164

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2014
Organization Incorporation State FL
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 No
One Third Support Gifts Yes
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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