FORM 1023-EZ for LA PAZ YOUTH SOCCER LEAGUE

Field Data
EIN 83-3267658
Case Number EO-2019036-001191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA PAZ YOUTH SOCCER LEAGUE
Organization’s Mailing Address 320 S KOFA AVE
City PARKER
State AZ
ZIP 85344
Accounting period End 7
Primary contact name HECTOR DURAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COURTNEY KOM
PRESIDENT
320 S KOFA AVE
PARKER AZ 85344

Officer/Director/Trustee Two

RAQUEL REDMAN
VICE-PRESIDENT
320 S KOFA AVE
PARKER AZ 85344

Officer/Director/Trustee Three

JOANNA HERMES
SECRETARY
320 S KOFA AVE
PARKER AZ 85344

Officer/Director/Trustee Four

LORI WEDEMEYER
TREASURER
320 S KOFA AVE
PARKER AZ 85344

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State AZ
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: 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 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 COURTNEY KOM
Signature Title PRESIDENT
Signature Date 1/23/19

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