FORM 1023-EZ for NORTHERN EDGE SOCCER

Field Data
EIN 47-1441221
Case Number EO-2014226-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHERN EDGE SOCCER
Organization’s Mailing Address PO BOX 303
City SCANDIA
State MN
ZIP 55073
Accounting period End 12
Primary contact name GREG KEMP CPA 952-544-4147
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH TOMAS
CEO/SECRETARY
PO BOX 303
SCANDIA MN 55073

Officer/Director/Trustee Two

BETH GLENNA
VICE PRESIDENT/TREASURER
28921 QUAIL RD
SHAFER MN 55074

Officer/Director/Trustee Three

GLENN LISOWY
CHAIR PERSON
PO BOX 303
SCANDIA MN 55073

Officer/Director/Trustee Four

Jerri CONSTANT
MEMBER AT LARGE/ FUND RAISER
PO BOX 303
SCANDIA MN 55073

Organization’s website N/A
Organization’s email NORTHERNEDGESOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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