FORM 1023-EZ for OIL REGION SOCCER ASSOCIATION

Field Data
EIN 37-1774799
Case Number EO-2015020-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OIL REGION SOCCER ASSOCIATION
Organization’s Mailing Address 420 7TH STREET
City FRANKLIN
State PA
ZIP 16323-1102
Accounting period End 12
Primary contact name SHAWN KERR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAWN KERR
PRESIDENT
420 7TH STREET
FRANKLIN PA 16323-1102

Officer/Director/Trustee Two

ERIN LECCIA
VICE PRESIDENT
417 11TH STREET
FRANKLIN PA 16323-1102

Officer/Director/Trustee Three

LISA UMBENHAUER
SECRETARY
114 ASPEN DRIVE
FRANKLIN PA 16323-1907

Officer/Director/Trustee Four

TAMARA VARSEK
TREASURER
1887 COUNTY LINE ROAD
VENUS PA 16364-3106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State PA
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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