FORM 1023-EZ for CARTHAGE YOUTH SOCCER

Field Data
EIN 82-4181494
Case Number EO-2018044-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARTHAGE YOUTH SOCCER
Organization’s Mailing Address 3 MARTIN AVE PO BOX 28
City DEFERIET
State NY
ZIP 13628
Accounting period End 8
Primary contact name ALICIA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA ANDERSON
PRESIDENT
3 MARTIN AVENUE PO BOX 28
DEFERIET NY 13628

Officer/Director/Trustee Two

AMANDA POWELL
TREASURER
9367 NYS RT 12 PO BOX 339
COPENHAGEN NY 13626

Officer/Director/Trustee Three

JENNIFER ADKINS
SECRETARY
31299 CT RT 143
BLACK RIVER NY 13612

Officer/Director/Trustee Four

JOANNE LAZORE
VICE PRESIDENT
25492 COUNTY RT 37
CARTHAGE NY 13619

Organization’s website HTTPS://WWW.FACEBOOK.COM/GROUPS/CARTHAGEYOUTHSOCCER/
Organization’s email CARTHAGEYS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/18
Organization Incorporation State NY
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: Yes
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 ALICIA ANDERSON
Signature Title PRESIDENT
Signature Date 2/8/18

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