FORM 1023-EZ for WEST MIFFLIN SOCCER CLUB

Field Data
EIN 25-1884678
Case Number EO-2021076-000624
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WEST MIFFLIN SOCCER CLUB
Organization’s Mailing Address 1214 ROSSNER AVE
City DUQUESNE
State PA
ZIP 15110
Accounting period End 12
Primary contact name STEPHEN KRACINOVSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC ZABLOCKI
PRESIDENT
219 HOLIDAY DRIVE
WEST MIFFLIN PA 15122

Officer/Director/Trustee Two

MATT SELMO
VICE PRESIDENT
415 SATINWOOD DRIVE
WEST MIFFLIN PA 15122

Officer/Director/Trustee Three

TIMOTHY JEFFREY
SECRETARY
810 IRWIN RUN ROAD
WEST MIFFLIN PA 15122

Officer/Director/Trustee Four

STEPHEN KRACINOVSKY
TREASURER
1214 ROSSNER AVE
DUQUESNE PA 15110

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2015
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: 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 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 STEPHEN KRACINOVSKY
Signature Title TREASURER
Signature Date 1/18/2021

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