FORM 1023-EZ for WASHINGTON AREA SOCCER PROGRAM

Field Data
EIN 81-3971154
Case Number EO-2017187-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WASHINGTON AREA SOCCER PROGRAM
Organization’s Mailing Address 415 E POLK STREET
City WASHINGTON
State IA
ZIP 52353-1236
Accounting period End 12
Primary contact name HEATHER PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER PEREZ
PRESIDENT
415 E POLK STREET
WASHINGTON IA 52353-1236

Officer/Director/Trustee Two

GABI LOPEZ MARCELINO
TREASURER
709 W 2ND STREET
WASHINGTON IA 52353-1934

Officer/Director/Trustee Three

SALLY HART
VICE PRESIDENT
616 LINCOLN STREET
AINSWORTH IA 52201-9456

Officer/Director/Trustee Four

KEELY BROWER
SECRETARY
925 N MARION AVENUE
WASHINGTON IA 52353-2537

Officer/Director/Trustee Five

SARAH GRUNEWALDT
BOARD DIRECTOR
214 E 5TH STREET
WASHINGTON IA 52353-2311

Organization’s website WASPIOWA.ORG
Organization’s email WASPIOWA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2016
Organization Incorporation State IA
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: No
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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