FORM 1023-EZ for FOUNDATION SPORTS CLUB INC

Field Data
EIN 83-1436690
Case Number EO-2019140-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION SPORTS CLUB INC
Organization’s Mailing Address 163 ALBANY TPKE STE 150
City CANTON
State CT
ZIP 6019
Accounting period End 12
Primary contact name SHAWN MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN MCDONALD
PRESIDENT
28 GOOSE GREEN RD
BARKHAMSTED CT 6063

Officer/Director/Trustee Two

ROBERT WELLER
TREASURER
21 ELLSWORTH LN
CANTON CT 6019

Officer/Director/Trustee Three

GIANNI PERUGINI
SECRETARY
42 SCENIC VIEW RD
NORTHFIELD CT 6778

Organization’s website FOUNDATIONSPORTSCLUB.COM
Organization’s email FOUNDATIONSPORTSCLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State CT
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAWN MCDONALD
Signature Title PRESIDENT
Signature Date 5/16/19

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