FORM 1023-EZ for UNITED PARISHES SOCCER CLUB INC

Field Data
EIN 81-3994064
Case Number EO-2016278-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED PARISHES SOCCER CLUB INC
Organization’s Mailing Address 169 N OXFORD ST
City EAST YORK
State PA
ZIP 17402
Accounting period End 4
Primary contact name TIMOTHY STAUB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY STAUB
PRESIDENT
169 N OXFORD ST
EAST YORK PA 17402

Officer/Director/Trustee Two

DONALD DEBOLT
MEMBER-AT-LARGE
550 EDGEWOOD RD
YORK PA 17402

Officer/Director/Trustee Three

DANIEL PUCCIO
VICE-PRESIDENT
3315 HONEY RUN DR
YORK PA 17408

Officer/Director/Trustee Four

MARIE KELLETT
TREASURER
209 HAINES RD
YORK PA 17402

Officer/Director/Trustee Five

ELIZABETH IMBODEN
EQUIPMENT MANAGER
3233 FIRST AVE
YORK PA 17402

Organization’s website WWW.UNPSOCCER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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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