FORM 1023-EZ for PSA SOCCER ACADEMY

Field Data
EIN 83-1584855
Case Number EO-2019326-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PSA SOCCER ACADEMY
Organization’s Mailing Address 766 POFF RD
City YORK
State PA
ZIP 17406
Accounting period End 7
Primary contact name JONATHAN QUINONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE DENNEY
PRESIDENT
215 LINCOLNWAY DR
YORK PA 17408

Officer/Director/Trustee Two

JONATHAN QUINONES
TREASURER
766 POFF RD
YORK PA 17406

Officer/Director/Trustee Three

COREY KING
REGISTRAR
2714 CARLTON PL
YORK PA 17408

Organization’s website HTTP://PASOCCERACADEMY.ORG/
Organization’s email PASOCCERACADEMY01@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
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 JACKIE DENNEY
Signature Title PRESIDENT
Signature Date 11/20/19

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