FORM 1023-EZ for TWIN CITIES STREET SOCCER USA

Field Data
EIN 47-2724406
Case Number EO-2015035-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TWIN CITIES STREET SOCCER USA
Organization’s Mailing Address 3055 OLD HWY 8 STE 203
City ST ANTHONY
State MN
ZIP 55418
Accounting period End 12
Primary contact name HANI HAYBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HANI HAYBE
PRESIDENT
2423 25TH AVE S
MINNEAPOLIS MN 55406

Officer/Director/Trustee Two

FIL JIMALE
SECRETARY
1915 CLINTON AVE S APT 210
MINNEAPOLIS MN 55404

Officer/Director/Trustee Three

NAWAL ALI
TREASURER
2910 E FRANKLIN AVE APT 1802
MINNEAPOLIS MN 55406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2013
Organization Incorporation State MN
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 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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