FORM 1023-EZ for NORTH LAKELAND YOUTH SOCCER ASSOCIATION INC

Field Data
EIN 61-1716780
Case Number EO-2015182-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTH LAKELAND YOUTH SOCCER ASSOCIATION INC
Organization’s Mailing Address P O BOX 91987
City LAKELAND
State FL
ZIP 33804-1987
Accounting period End 12
Primary contact name JODY OBRIEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JODY OBRIEN
PRESIDENT
11066 N PONDEROSA LANE
LAKELAND FL 33809

Officer/Director/Trustee Two

NICOLA ZUNIGA
TREASURER
5814 SAWYER RD
LAKELAND FL 33810

Officer/Director/Trustee Three

LAURA SHEETS
SECRETARY
10923 PATHFINDER TRAIL
LAKELAND FL 33809

Officer/Director/Trustee Four

RICHARD GUTIERREZ
REGISTRAR
3102 WEST CAMPBELL RD
LAKELAND FL 33810

Officer/Director/Trustee Five

VICTOR ZUNIGA
DIRECTOR OF COMPETITION
5814 SAWYER RD
LAKELAND FL 33810

Organization’s website WWW.NLYS.ORG
Organization’s email NORTHLAKELANDYOUTHSOCCER@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2013
Organization Incorporation State FL
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 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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