FORM 1023-EZ for SOUTHERN TIOGA YOUTH SOCCER INC

Field Data
EIN 83-0782384
Case Number EO-2018186-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN TIOGA YOUTH SOCCER INC
Organization’s Mailing Address 1209 MACK ROAD
City MANSFIELD
State PA
ZIP 16933
Accounting period End 12
Primary contact name MELISSA M FENSTERMACHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA FENSTERMACHER
DIRECTOR, COCHAIRMAN
1209 MACK ROAD
MANSFIELD PA 16933

Officer/Director/Trustee Two

KAREN SCHULTZ
DIRECTOR, COCHAIRMAN
1209 MACK ROAD
MANSFIELD PA 16933

Officer/Director/Trustee Three

SANDRA SMITH
DIRECTOR, SECRETARY
1209 MACK ROAD
MANSFIELD PA 16933

Officer/Director/Trustee Four

TAMMI WESTBY-GIBSON
DIRECTOR, TREASURER
1209 MACK ROAD
MANSFIELD PA 16933

Organization’s website
Organization’s email STYSOCCER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/18
Organization Incorporation State PA
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 MELISSA FENSTERMACHER
Signature Title DIRECTOR, COCHAIRMAN
Signature Date 7/3/18

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